Early oral nutrition is useful for perioperative management of patients on maintenance hemodialysis following colorectal cancer surgery

Abstract

Objective: There are few reports on early oral nutrition in the perioperative management of maintenance hemodialysis patients with chronic kidney disease following colorectal cancer surgery. Since 2006, we have been using an early oral nutrition protocol after elective colorectal cancer surgery for hemodialysis patients. This study examined its validity and safety.

Methods: From January 2007 to December 2019, 23 maintenance hemodialysis patients with chronic kidney disease and 676 non-dialysis patients underwent elective colon cancer surgery including anastomosis at our hospital. Short-term outcomes were retrospectively compared between these patient groups.

Results: In the hemodialysis group, median time to start of oral nutrition after surgery was 1 day and median time to the earliest possible date of discharge after surgery was 8 days. Complications of Clavien-Dindo classification grade 3 or higher were shunt occlusion in 2 cases (9%). There were no cases of anastomotic leakage in the hemodialysis group.

Conclusion: Early oral nutrition after elective colorectal cancer surgery was considered safe for maintenance hemodialysis patients with chronic kidney disease.