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The Egyptian Journal of Internal Medicine
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Effect of early versus delayed feeding following emergency endoscopic therapy for acute esophageal variceal bleeding on short-term outcomes

The Egyptian Journal of Internal Medicine volume 30, pages 110–114 (2018)Cite this article

Abstract

Background/aim

It is generally assumed that systematic fasting is obligatory in the context of acute variceal bleeding owing to the fear of increasing the risk of rebleeding if patients instituted feeding early after endoscopy. However, this assumption is generally built on experts’ beliefs instead of being based on large clinical trials. Such lack of clinical trials was the reason why we conducted this controlled study.

Patients and methods

Patients were selected from those with acute esophageal variceal bleeding admitted at the Hematemesis Unit at Mansoura Emergency Hospital. The study involved 90 patients who divided into two equal groups: group I included 45 patients as the early-feeding group and group II included 45 patients as the late-feeding group.

Results

There was no statistically significant difference regarding treatment complications distribution between the studied groups. The successful hemostatic rate was 100% in both groups. Neither rebleeding incidents nor deaths were encountered in the first 5 days in either group.

Conclusion

Early feeding with a liquid diet after successful endoscopic therapy of bleeding esophageal varices did not enhance rebleeding or increase mortality in the first 5 days following endoscopic intervention.

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Authors and Affiliations

  1. Department of Critical Care, Faculty of Medicine, Mansoura University, Mansoura, Egypt

    Tarek Goda

  2. Department of Hepatology and Gastroenterology, Faculty of Medicine, Mansoura University, Mansoura, 35516, Egypt

    Abdelrahman Mokhtar, Rokaya Anwar, Hakim Hazem (MD of Internal Medicine, Assistant Professor of Hepatology and Gastroenterology Department) & Ali Eleraki

Authors
  1. Tarek Goda
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  2. Abdelrahman Mokhtar
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  3. Rokaya Anwar
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  4. Hakim Hazem
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  5. Ali Eleraki
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Corresponding author

Correspondence to Hakim Hazem.

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Goda, T., Mokhtar, A., Anwar, R. et al. Effect of early versus delayed feeding following emergency endoscopic therapy for acute esophageal variceal bleeding on short-term outcomes. Egypt J Intern Med 30, 110–114 (2018). https://doi.org/10.4103/ejim.ejim_22_18

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  • DOI: https://doi.org/10.4103/ejim.ejim_22_18

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