Early Enteral Feeding After Intestinal Anastomosis

NCT ID: NCT00739271

Last Updated: 2008-08-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-10-31

Study Completion Date

2007-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The concept of starting the patient on early enteral nutrition has been a topic of much interest and research in the past decade. It is gaining widespread acceptance worldwide as more and more studies are being conducted proving early enteral nutrition to be more physiological, to prevent morphologic and functional trauma related alterations of the gut and to modulate immune and inflammatory responses, and as being less expensive than total parenteral nutrition. Early enteral nutrition is a major component of the recently introduced post operative rehabilitative regimens.

Early feeding has been shown to reduce the risk of any specific infection, mean length of hospital stay, anastomotic dehiscence, wound infection, pneumonia, intra abdominal abscesses. It leads to lower weight loss and early positive nitrogen balance. Hence, overall early enteral nutrition leads to reduced post operative morbidity and better patient outcome.

The objective of this study was to study and compare the effects of early enteral feeding with those of conventional management in patients undergoing intestinal anastomosis; the end points being return of bowel activity, incidence of septic complications, length of hospital stay, weight loss and post operative morbidity.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Pre operatively, common parameters observed in both study and control groups were:

* Name
* Age
* Sex
* Date of admission
* Weight
* Indication of surgery
* Pre operative features of sepsis (whether present or not) which included temperature, pulse rate\& total leukocyte count.

Post operatively, the patients in the study group were kept nil per orally for the first forty eight hours. The nasogastric tube was removed on the first post operative day invariably.

After forty eight hours of surgery, subjects were started on sips of clear liquids orally; the amount was gradually increased as tolerated by the patient. The diet was stepped up to soft diet and to regular diet. A record was made of abdominal discomfort, pain or distension if experienced by the subject during feeding.

Record was made of the following:

* Site of anastomosis
* Type of anastomosis ( sutured / stapled )
* Time of removal of nasogastric tube
* Time of passage of flatus / stools post operatively
* Time of appearance of bowel sounds
* Features of sepsis which included temperature, pulse rate \& total leukocyte count
* Presence of wound infection
* Weight on the fifth day of surgery, at the time of discharge
* Date of discharge
* Length of hospital stay

Patients in the control group were kept on maintenance intravenous fluids containing dextrose and saline. Nasogastric tube was removed and feeds were started orally as decided by the operating surgeon depending on the clinical condition of the patient and presence of bowel activity. Post operative records were made of the same parameters as in the study group.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Intestinal Anastomosis

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Study arm

Early enteral feed 48 hours after abdominal surgery

Group Type ACTIVE_COMPARATOR

Early feeding

Intervention Type OTHER

Control arm

Traditional treatment where patient is kept on a nasogastric drainage for a few days after abdominal surgery, wait for bowel sounds to appear and then start enteral feeds.

Group Type ACTIVE_COMPARATOR

late feeding after bowel sounds return

Intervention Type OTHER

Traditional method

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Early feeding

Intervention Type OTHER

late feeding after bowel sounds return

Traditional method

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* All patients undergoing intestinal anastamosis on an elective or emergency basis

Exclusion Criteria

* Re laparotomies
* Patients who are immunosuppressed
* Patients with renal failure
* Patients with spinal injuries
* Patients requiring critical care
* Pediatric patients
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Christian Medical College and Hospital, Ludhiana, India

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

CMC Hospital

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Rajeev Kapoor, MS

Role: STUDY_CHAIR

CMC Hospital

Prerna Gupta, MS

Role: PRINCIPAL_INVESTIGATOR

CMC Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Christian Medical College and Hospital

Ludhiana, Punjab, India

Site Status

Countries

Review the countries where the study has at least one active or historical site.

India

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

RK2

Identifier Type: -

Identifier Source: org_study_id