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. 2019 Jul 22;2019(7):CD004080. doi: 10.1002/14651858.CD004080.pub4

Stewart 1998.

Methods Randomised controlled trial
No information provided about duration of study
Participants 80 participants (40 in each group)
Elective intraperitoneal colorectal resections without stoma formation (Ileocolic resection (10); hemicolectomy (right or left) (35); subtotal colectomy (11); anterior resection (24))
Route of feeding: oral
Mean age (range): 58 (25‐89) (intervention group), 59 (17‐88) (control group)
Sex ratio (M:F): 19/21 (intervention group), 18/22 (control group)
Interventions Intervention group: allowed free fluids from 4 hours after operation and progressed to a solid diet from the first POD at their own discretion.
Control group: remained fasting until passage of flatus or bowel motion, and were then commenced on clear fluids and progressed to a solid diet over 24 to 48 hours at the surgeon’s discretion.
Outcomes Wound infection, anastomotic leakage, mortality, pneumonia, LoS, vomiting.
Notes Country of study: Australia
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Patients randomly assigned according to a computer number generator to one of two groups.
Allocation concealment (selection bias) Unclear risk No information provided.
Blinding of participants (performance bias) All outcomes High risk No reports of attempts to blind participants. Participants are unlikely to be adequately blinded with an intervention of this nature.
Blinding of personnel (performance bias) All outcomes High risk No reports of attempts to blind personnel. Participants are unlikely to be adequately blinded with an intervention of this nature.
Blinding of outcome assessor (detection bias) ‐ wound infections High risk Assessors were not blinded.
Blinding of outcome assessor (detection bias) ‐ intraabdominal abscesses Unclear risk NA ‐ not assessed.
Blinding of outcome assessor (detection bias) ‐ postoperative complications e.g. acute myocardial infarction, thrombosis or pneumonia High risk (Respiratory complications, cardiovascular complications, urinary tract infection, pneumonia) Assessors were not blinded.
Blinding of outcome assessor (detection bias) ‐ anastomotic leakage/dehiscence High risk Assessors were not blinded.
Blinding of outcome assessor (detection bias) ‐ mortality Low risk Asessors were not blinded. Outcome assessor unlikely to affect this outcome.
Blinding of outcome assessor (detection bias) ‐ adverse events (e.g. nausea, vomiting, abdominal distention, aspiration, tube blockage and any other adverse events High risk (Vomiting). Assessors were not blinded.
Blinding of outcome assessor (detection bias) ‐ length of hospital stay High risk Asessors were not blinded.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Less than 10% missing data.
Selective reporting (reporting bias) Unclear risk No protocol available. All outcomes listed in methods were reported in the results.