Which dietary modifications are needed following colon resection (colectomy)?

Updated: Apr 05, 2021
  • Author: David E Stein, MD, MHCM; Chief Editor: Vikram Kate, FRCS, MS, MBBS, PhD, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Answer

The authors believe that nasogastric and orogastric tubes need not be kept in place postoperatively and thus should be removed immediately at the end of the case. However, a nasogastric tube may have to be inserted if postoperative ileus develops. A nasogastric tube does not shorten the duration of postoperative ileus but does relieve the symptoms of nausea, vomiting, and bloating.

On the day of surgery, the patient may be started on sips of clear liquids. The diet is advanced as tolerated. The surgeon should use his or her clinical judgment to determine when to discontinue IV fluids.


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