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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
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EARLY ORAL FEEDING IN PATIENTS SUBMITTED TO ESOPHAGECTOMY: ANALYSIS OF THREE CASES
Carvalho Erlon de Avila*, Furtado Raíssa Dalat Coelho, Alves Amanda Alves Araújo, Portela André Rossetti, Alves Rafael Bruno da Silveira and Cassaro, Valdete de Lourdes
Esophagectomy is a standard treatment in conditions such as esophageal cancer and advanced achalasia that has high morbidity and mortality and high cost. In the postoperative period, patients are fasted orally for a variable period due to the increased risk of aspiration pneumonia and anastomotic fistula, with nutrition normally guaranteed by enteral or parenteral route. Early oral feeding has been shown to be the best alternative in the postoperative period, reducing days of hospitalization without increasing the rate of complications. This study aimed to describe three cases of total esophagectomy performed in two tertiary hospitals in Belo Horizonte - MG, evaluating the early oral diet started on the first postoperative day following the ERAS ® protocol. This is a series of cases carried out between March 2019 and March 2020. Among the three patients included, one of them had esophageal cancer while the others had achalasia. All received a liquid-restricted diet on the first postoperative day, progressing without complications during hospitalization. Only one patient presented complications after discharge (dysphonia) with complete recovery after rehabilitation measures. There is a good evolution from the early oral diet, but more controlled and randomized studies are needed.[Full Text Article]