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Your search keyword '"Liu, Chia Chuan"' showing total 11 results
Start Over Author "Liu, Chia Chuan" Publisher ovid technologies (wolters kluwer health)
11 results on '"Liu, Chia Chuan"'

1. Early Oral Feeding Following McKeown Minimally Invasive Esophagectomy

Author

Sun, Hai-Bo, primary, Li, Yin, additional, Liu, Xian-Ben, additional, Zhang, Rui-Xiang, additional, Wang, Zong-Fei, additional, Lerut, Toni, additional, Liu, Chia-Chuan, additional, Fiorelli, Alfonso, additional, Chao, Yin-Kai, additional, Molena, Daniela, additional, Cerfolio, Robert J., additional, Ozawa, Soji, additional, and Chang, Andrew C., additional

Published
2018
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11. Early Oral Feeding Following McKeown Minimally Invasive Esophagectomy

Author

Yin-Kai Chao, Hai Bo Sun, Zong Fei Wang, Daniela Molena, Yin Li, Robert J. Cerfolio, Chia Chuan Liu, Alfonso Fiorelli, Toni Lerut, Rui Xiang Zhang, Soji Ozawa, Xian Ben Liu, Andrew C. Chang, Sun, Hai-Bo, Li, Yin, Liu, Xian-Ben, Zhang, Rui-Xiang, Wang, Zong-Fei, Lerut, Toni, Liu, Chia-Chuan, Fiorelli, Alfonso, Chao, Yin-Kai, Molena, Daniela, Cerfolio, Robert J., Ozawa, Soji, and Chang, Andrew C.

Subjects
Male, medicine.medical_specialty, Esophageal Neoplasms, medicine.medical_treatment, 030204 cardiovascular system & hematology, law.invention, 03 medical and health sciences, Enteral Nutrition, Postoperative Complications, 0302 clinical medicine, Quality of life, Randomized controlled trial, law, medicine, Clinical endpoint, Humans, esophageal cancer, Prospective Studies, Prospective cohort study, Aged, business.industry, minimally invasive esophagectomy, Recovery of Function, Middle Aged, Esophageal cancer, medicine.disease, Confidence interval, Surgery, Esophagectomy, early oral feeding, Treatment Outcome, 030220 oncology & carcinogenesis, Anesthesia, Quality of Life, Lymph Node Excision, Defecation, Female, business
Abstract

Objective: Our objective was to evaluate the impact of early oral feeding (EOF) on postoperative cardiac, respiratory, and gastrointestinal (CRG) complications after McKeown minimally invasive esophagectomy for esophageal cancer. Summary Background Data: Nil-by-mouth with enteral tube feeding is routinely practiced after esophagectomy. Methods: Patients were randomly allocated to receive oral feeding on the first postoperative day (EOF group) or late oral feeding (LOF group) 7 days after surgery. The primary endpoint was the occurrence of postoperative CRG complications, and the secondary outcomes included bowel function recovery and short-term quality of life (QOL). Results: Between February 2014 and October 2015, 280 patients were enrolled in this study. There were 140 patients in the EOF group and 140 patients in the LOF group. EOF was noninferior to LOF for CRG complications (30.0% in the EOF group vs. 32.9% in the LOF group; 95% confidence interval of the difference: -13.8% to 8.0%). Compared with the LOF group, the EOF group showed significantly shorter time to first flatus (median of 2 days vs. 3 days, P = 0.001) and bowel movement (median of 3 vs. 4 days, P < 0.001). Two weeks after the operation, patients in the EOF group reported higher global QOL and function scores and lower symptom scores than patients in the LOF group. Conclusions: In patients after McKeown minimally invasive esophagectomy is noninferior to the standard of care with regard to postoperative CRG complications. In addition, patients in the EOF group had a quicker recovery of bowel function and improved short-term QOL.

Published
2018

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