Comparison of complications with semi-solid versus liquid diet via nasogastric feeding tube after orthognathic surgery

Publication date: Available online 25 October 2018

Source: Journal of Oral and Maxillofacial Surgery

Author(s): Shigeo Ishikawa, Hiroyoshi Matsumura, Sachiko Tomitsuka RB, Kazuyuki Yusa, Yoko Sato, Mitsuyoshi Iino

Abstract

Purpose

The aim of this retrospective study was to compare the effectiveness of nasogastric tube (NGT) feeding of a semi-solid diet versus a liquid diet after orthognathic surgery.

Patients and Methods

Orthognathic surgery patients were relatively young and generally healthy, without severe medical disease. Twenty-six patients received liquid feeding (Liquid group [LG]; administration rate: 100 mL/hour), 30 patients received semi-solid feeding at a high administration rate (Semi-solid rapid administration group [SSRAG]; 200–500 mL/hour), and 33 received semi-solid feeding at a slower rate (Semi-solid with slow administration group [SSSAG]; 100 mL/hour). We retrospectively investigated the complications of NGT feeding in each group.

Results

The incidence of diarrhoea was clearly lower in the SSRAG than in the LG. Among patients with lower gastrointestinal tract symptoms, stool form scale scores and maximum defecation frequency per day were significantly lower in the SSRAG than in the LG (p=0.001 for both). Rapid administration of a semi-solid diet via NGT resulted in fewer complications and shorter feeding times for orthognathic surgery patients.

Conclusions

The rapid administration of a semi-solid diet via NGT should decrease the complications of NGT feeding and improve the quality of the perioperative period for patients. The findings of this study will help clinicians select NGT diets for relatively young, healthy patients, such as orthognathic surgery patients.

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