Early Oral Feeding Is Decrese The Risk Of Postoperative Morbidity After Pancreaticoduodenectomy

Objective We set out to evaluate nutrition conditions and the incidence of complication, hospital stay and nutritional intake between early oral feeding (EOF) and delay oral feeding (DOF) in patients undergoing pancreatoduodenectomy(PD).Methods We retrospectively investigated 57 patients at the Chonbuk National University Hospital. The patients were divided into 2 groups: those who started to have an early oral feeding (EOF group, n=28) within postoperative day (POD) 2 and delay oral feeding (DOF group, n=29) after POD 5. Compare the laboratory parameters included albumin, prealbumin and lymph-cell counts. Which were taken on preoperative, postoperative day (POD) 1, 7 and 14. Postoperative complications, including wound dehiscence, intraabdominal abscess, pneumonia, leakage from anastomosis, postoperative bleeding, pleural effusion, small bowel obstruction, pleural effusion and mean postoperative length of stay.Results Postoperation EOF Prealbumin was significantly higher than DOF (P=0.026). There were no significant difference in the patients characteristics and other postoperative complications between the two groups, such as anastomosis site leakage, wound infections, intra-abdominal abscesses, pneumonia, postoperative bleeding and nutritional status. Mean postoperative length of stay significant longer in DOF compared with EOF (respectively 27.6±10.9 days verus 21.3±6.3 days, P=0.042).Conclusion Postoperative EOF dose not increase complications is safe and associated with a reduction of hospital stay and improvement of nutritional intake for patients who have undergone PD. From our findings, early oral feeding does not increase the risk of postoperative morbidity after pancreaticoduodenectomy.