{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:41:18Z","timestamp":1761007278033,"version":"build-2065373602"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:00:00Z","timestamp":1640736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The role of enteral feeding with fiber\u2010enriched feeds in minimizing infections, shortening length of hospital stay (LOHS), and preventing or treating feeding complications has been widely researched. However, there is limited evidence to evaluate the role of fiber\u2010enriched enteral feeding in gastrointestinal surgery patients postoperatively. This systematic review aims to identify the role of fiber\u2010enriched enteral feeds on postoperative feeding complications of diarrhea, nausea and vomiting, abdominal distension, flatulence, cramps, LOHS, and infection rates after gastrointestinal surgery. A systematic literature search was conducted using MEDLINE, CINAHL, and Cochrane Library. Manual reference lists were searched on identified studies and the SCOPUS database. Randomized controlled trials (RCTs) conducted on any gastrointestinal surgery type that included enteral nutrition with high\u2010fiber enteral feeds and\/or fiber supplements were included. All studies included were screened for risk of bias with Cochrane's risk\u2010of\u2010bias tool, and data were extracted with Cochrane Collaboration's data extraction tool. In total, 3 RCTs out of 231 screened citations including fiber\u2010enriched feeds and probiotics were included in this review. No significant effect on LOHS or postoperative infections was found. No safety risks were identified. Limited, low\u2010quality evidence suggests fiber\u2010enriched feeds may minimize diarrhea incidence. The effects of fiber\u2010enriched feeds postoperatively in gastrointestinal surgery remain under\u2010researched. Studies evaluating fiber and probiotics were low quality and at high risk of bias because of the misreporting of outcomes and the lack of detailed outlines of probiotic strains utilized. However, fiber\u2010enriched enteral feeding appears safe, may yield benefits, and is recommended in stable gastrointestinal surgical patients.<\/jats:p>","DOI":"10.1002\/ncp.10805","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T12:36:10Z","timestamp":1640781370000},"page":"797-810","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Do patients fed enterally post\u2013gastrointestinal surgery experience more complications when fed a fiber\u2010enriched feed compared with a standard feed? A systematic review"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7221-6818","authenticated-orcid":false,"given":"Konstantinos","family":"Eleftheriadis","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics North Middlesex University Hospital NHS Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Davies","sequence":"additional","affiliation":[{"name":"Faculty of Health and Life Sciences Coventry University  Coventry UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,29]]},"reference":[{"volume-title":"Nutrition Support for Adults: Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition","year":"2006","author":"National Institute for Health and Care Excellence","key":"e_1_2_8_2_1"},{"volume-title":"The Cost of Malnutrition in England and Potential Cost Savings from Nutritional Interventions","year":"2015","author":"Elia M","key":"e_1_2_8_3_1"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.2018.e11180"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.10-6-624"},{"issue":"5","key":"e_1_2_8_6_1","first-page":"e209","article-title":"Basics in clinical nutrition: complications of enteral nutrition","volume":"4","author":"Bodoky K","year":"2009","journal-title":"Clin Nutr ESPEN"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0029665107005551"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607114523451"},{"issue":"5","key":"e_1_2_8_9_1","first-page":"88","article-title":"Prebiotics, and diarrhea: what, why, when and how","volume":"19","author":"Generoso SD","year":"2016","journal-title":"Curr Opin"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu5041417"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533616668492"},{"key":"e_1_2_8_12_1","first-page":"CD008879","article-title":"Pre\u2010operative nutrition support in patients undergoing gastrointestinal surgery","volume":"11","author":"Burden S","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.02.013"},{"issue":"10","key":"e_1_2_8_14_1","first-page":"CD004080","article-title":"Early enteral nutrition within 24 hours of lower gastrointestinal surgery versus later commencement for length of hospital stay and postoperative complications","volume":"10","author":"Herbert G","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-008-0592-x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2007.03544.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i17.5372"},{"volume-title":"Systematic Reviews. CRD's Guidance for Undertaking Reviews in Health Care","year":"2009","author":"Centre for Reviews and Dissemination","key":"e_1_2_8_18_1"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-11692007000300023"},{"key":"e_1_2_8_21_1","unstructured":"Critical Appraisal Skills Programme.CASP randomised controlled trial checklist.2018. Accessed May 10 2020.https:\/\/CASP\u2010uk.net\/wp\u2010content\/uploads\/2018\/01\/CASP\u2010Randomised\u2010Controlled\u2010Trial\u2010Checklist\u20102018.pdf"},{"key":"e_1_2_8_22_1","unstructured":"Cochrane Effective Practice and Organisation of Care (EPOC).Data Collection Form. EPOC Resources for Review Authors.2017."},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000008418"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114517003403"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-200207150-00021"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-3485.83221"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13309"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181de24bc"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.4103\/0301-4738.71673"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.06.066"},{"key":"e_1_2_8_32_1","unstructured":"NorrisSL HolmerHK OgdenLA et\u00a0al.Selective Outcome Reporting as a Source of Bias in Reviews of Comparative Effectiveness. Agency for Healthcare Research and Quality;2012."},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/fg.2009.000547"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-015-0070-y"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000000564"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.2009.28759"},{"issue":"5","key":"e_1_2_8_37_1","first-page":"345","article-title":"Blinding: who, what, when, why, how?","volume":"53","author":"Karanicolas PJ","year":"2010","journal-title":"Can J Surg"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy169"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/2049-2618-2-35"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/73.2.361s"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00465.x"},{"key":"e_1_2_8_42_1","first-page":"1341","article-title":"Randomized controlled trials \u2013 a matter of design","volume":"12","author":"Spieth PM","year":"2016","journal-title":"Neuropsychiatr Dis Treat"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607116629670"},{"volume-title":"Global Guidelines for the Prevention of Surgical Site Infection","year":"2018","author":"Health Organization","key":"e_1_2_8_44_1"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2015.08.028"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.02107.x"},{"issue":"3","key":"e_1_2_8_47_1","first-page":"358","article-title":"Use of dietary fibers in enteral nutrition of critically ill patients: a systematic review. Rev Bras","volume":"30","author":"dos Reis AM","year":"2018","journal-title":"Ter Intensiva"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115621863"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOG.0b013e32834353cb"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781071814253"},{"key":"e_1_2_8_51_1","unstructured":"Harvard Health Publishing.Antibiotic\u2010associated diarrhea.2019. Accessed April 20 2020.https:\/\/www.health.harvard.edu\/a_to_z\/antibiotic\u2010associated\u2010diarrhea\u2010a\u2010to\u2010z"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ncp.10805","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ncp.10805","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ncp.10805","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:18:44Z","timestamp":1760962724000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ncp.10805"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,29]]},"references-count":50,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1002\/ncp.10805"],"URL":"https:\/\/doi.org\/10.1002\/ncp.10805","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"type":"print","value":"0884-5336"},{"type":"electronic","value":"1941-2452"}],"subject":[],"published":{"date-parts":[[2021,12,29]]},"assertion":[{"value":"2021-12-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}