PPT Slide
Early EN (< 24 h) vs. Standard care (NPO)
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)
Early EN (ប h) vs. EN (> 36 h)
B2 - patients receiving early EN (បhrs post-op) had fewer infectious complications (eEN 19% vs. dEN 41%, p=0.00001)
B2 - length of hospital stay was significantly shorter with eEN (mean reduction of 2.2 days, p=0.0012)
TPN vs. Standard care (usual oral diet)
A2 - in malnourished patients, TPN was significantly associated with a reduction in complication rates (RR 0.52 95%CI 0.30 to 0.91)
A2 - if TPN was initiated preoperatively, there was a significant reduction in complication rates (RR 0.70 95%CI 0.52 to 0.92)
B2 - in studies with a lower methods score, there was a significant reduction in complication rates (RR 0.50, 95%CI 0.47 to 1.19)
B2 - overall, TPN was associated with a reduction in complication rates (RR 0.81, 95%CI 0.61 to 1.01)
A2 - patients receiving EN had fewer infectious complications (EN 16% vs.TPN 35%, p=0.01)