PPT Slide
Results of literature review
Reference: Lewis SJ, Egger M, Sylvester PA, Thomas S. Early enteral feeding versus "nil by mouth" after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ 2001;323:773-6.
Patients type / studies included: 11 RCTs involving 837 elective GI surgery pts comparing the use of early enteral feeding (ឈ hrs postop) to standard care (NPO)
Best Level of Evidence: Level II Internal validity score: 6 / 6
A2 - overall, eEN was associated with a decreased risk of anastomotic dehisence (RR 0.53 95%CI 0.26 to 1.08, p=0.08)
A2 - eEN was significantly associated with a reduced risk of infection (RR 0.72 95%CI 0.54 to 0.98)
A2 - eEN was associated with an increased risk of vomiting (RR 1.27 95%CI 1.01 to 1.61)
A2 - eEN reduced LoS by 0.84 days (95%CI 0.36 to 1.33 days, p=0.001)