| Objective To investigate the effects of different feeding time after colorectal endoscopic submucosal dissection (ESD) on postoperative complications, length of hospitalstay and comfortof patients.Methods A total of 145 patients who were hospitalizedwith colorectal ESD in digestive Endoscopy Center of Affiliated Hospital of Nanjing University of Chinese Medicine from September 2018 to September 2019 were enrolled in this study. According to the postoperative eating time, 35 patients in the experimental group (eating time ≤ 24 h) and 35 patients in the control group (eating time > 24 h) were finally includedusing propensity score matching analysis. The gender, age, focal lesion locations, the size (diameter, length to diameter, area), postoperative complications (bleeding, perforation, fever), length of hospital stay (total length of hospital stay, postoperative hospital stay, postoperative comfort survey project (nausea, insomnia, waist and back discomfort, abdominal pain, hunger, thirst) of the two groups were analyzed.Results After propensity score matching analysis, there was no statistical difference in the incidence of bleeding, perforation and fever between the two groups (P>0.05).The length of postoperative hospitalization in the experimental group was significantly different from that in the control group[(4.49 ±1.58) days vs (5.23±1.14)days, P<0.05)].In terms of comfort survey items, there was statistical difference in thirst degree between the two groups (P<0.05), while there was no statistical difference in nausea, insomnia, lumbar and back discomfort, abdominal pain, hunger and other degrees (P>0.05).Conclusion Compared with conventional postoperative feeding plan, early feeding does not increase the incidence of complications and affect postoperative comfort after colorectal ESD, but it can shorten the hospital stay of patients. |
