title: Comparing early oral feeding with traditional oral feeding in upper gastrointestinal surgery.
abstract: OBJECTIVE
  Due to the lack of interest in using early oral feeding and the need for a trial study in this regard, this study aimed to compare the outcome of early oral feeding and traditional oral feeding in patients with upper gastrointestinal surgery.
  
  
  METHODS
  Fifty-two patients who underwent upper gastrointestinal surgery were randomly assigned into two groups in a consecutive manner as either the early oral feeding group or traditional oral feeding group. Tolerance of oral feeding, ileus, nausea and vomiting, post-operative stay, and complications were recorded.
  
  
  RESULTS
  Tolerance of oral feeding for the two groups was 24 (92.3%) in the early oral feeding group and 21 (91.3%) in the traditional oral feeding group (p=0.89). The post-operative hospital stays were 5.62 and 8.04 days in the early oral feeding and traditional oral feeding groups, respectively (p<0.0001). There were significant differences between the two groups in terms of the time of the first gas passing/defecation, the post-operative hospital stays, starting time of oral feeding, and satisfaction regarding early nasogastric tube removal.
  
  
  CONCLUSIONS
  The results of this study show that early oral feeding is a safer and more cost-effective procedure in upper gastrointestinal surgery.
authors.affiliation: Department of Surgery, Zanjan University of Medical Sciences, School of Medicine, Zanjan, Iran. nejat.hosini@zums.ac.ir
authors.forename: Seyed Nejat
authors.initials: SN
authors.lastname: Hosseini
authors.forename: Seyed Nouraddin
authors.initials: SN
authors.lastname: Mousavinasab
authors.forename: Haleh
authors.initials: H
authors.lastname: Rahmanpour
authors.forename: Somayeh
authors.initials: S
authors.lastname: Sotodeh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures; D004435:Eating; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011446:Prospective Studies; D013997:Time Factors; D055815:Young Adult