Early Oral Feeding Versus Traditional Postoperative Care in Emergency Abdominal Surgery
Study Details
Study Description
Brief Summary
The traditional postoperative care after abdominal surgery included the need of nasogastric tube, fasting until resumed bowel function and progressive reinstitution of oral intake from liquid to solid diet. Recent studies have shown no benefits of this traditional management over early oral feeding. Nevertheless, the researches in emergency surgery are scarce.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Early oral feeding
|
Other: Early oral feeding
Within 6-24 hours after surgery the nasogastric tube will be removed and liquids and soft diet "at will" indicated.
|
| Active Comparator: Traditional Care
|
Other: Traditional Care
They will have nasogastric tube and restriction of oral intake until the first sign of restoration of intestinal transit (first flatus or stool, whichever comes first). Since then withdrew nasogastric tube and liquid diet starts within 24 hours, then continues with soft diet.
|
Outcome Measures
Primary Outcome Measures
- Postoperative Complications [At 30 days or at discharge]
The rate of postoperative complications according with Clavien-Dindo classification, defined as "any deviation from the normal postoperative course".
Secondary Outcome Measures
- Gastrointestinal leaks [At 30 days or at discharge]
"the leak of luminal contents from a surgical join between two hollow viscera or from surgical repair of continuity solution. The luminal contents may emerge either through the wound or at the drain site, or they may collect near the anastomosis or rapair, causing fever, abscess, septicaemia, metabolic disturbance and/or multiple-organ failure. The escape of luminal contents intoan adjacent localised area, detected by imaging, in the absence of clinical symptoms and signs should be recorded as a subclinical leak"
- Time to resume bowel functions [At 30 days or at discharge]
Time from surgery to the first flatus or deposition, whatever occurs first
- Oral diet intolerance [At 30 days or at discharge]
The appearance of vomits or abdominal pain after diet
- Postoperative hospital stay [At 90 days]
Postoperative hospital stay
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients over 14 years after abdominal emergency surgery.
Exclusion Criteria:
-
Lack of consensus of the patient
-
Concurrent extra-abdominal surgery
-
Short bowel or other clear indication of parenteral nutrition
-
Inability to feed orally (eg, decreased level of consciousness)
-
Interventional procedure
-
Esophageal surgery
-
Reoperations
-
Pancreatitis
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Argerich Hospital | Buenos Aires | Argentina |
Sponsors and Collaborators
- Hospital General de Agudos "Dr. Cosme Argerich"
Investigators
- Principal Investigator: Roberto F Klappenbach, MD, Argerich Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ARGERICH1