Perioperative Dynamics of Energy Expenditure in Oesophagectomy Patients
NCT ID: NCT06921668
Last Updated: 2025-04-10
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
120 participants
OBSERVATIONAL
2024-09-01
2028-01-02
Brief Summary
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Nutritional therapy for these patients is an important part of overall perioperative management. Lewis-Santy oesophageal surgery requires a thoracic approach (thoracotomy or thoracoscopy) and an abdominal approach (laparotomy or laparoscopy).
Resumption of oral feeding is contraindicated in the immediate postoperative period. The use of a feeding jejunostomy is not systematic. The methods used to manage artificial nutritional support vary between centres, but the foreseeable duration of fasting and/or intake of less than 50% of nutritional requirements is always greater than 5 days.
At present, total energy requirements are calculated using formulae that take into account the patient's inflammatory state (stable, unstable or stabilised patient), theoretical ideal weight and previous nutritional status, in order to come as close as possible to actual energy expenditure, and are the subject of perioperative nutrition protocols specific to each centre. Indirect calorimetry makes it possible to reliably measure energy expenditure during the perioperative period.
The OESOCAL study continues this line of reasoning. It assumes that energy expenditure may vary according to the surgical approach, and that indirect calorimetry can be used to optimise nutritional support in order to avoid over- or under-nutrition, which may be responsible for an increase in infectious complications.
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Detailed Description
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Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Eligibility Criteria
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Inclusion Criteria
* Member or beneficiary of a social protection scheme
* Patient who has read and understood the information letter and does not object to taking part in the study.
Exclusion Criteria
* Refusal to take part in the study
* No social security affiliation
* Patient is a minor
* Patient under legal protection (guardianship)
* Pregnant women
* Oesophagectomy with cervical approach (3-way oesophagectomy)
* Participation in an interventional research protocol likely to have an effect on perioperative nutritional status or surgical technique
18 Years
ALL
No
Sponsors
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University Hospital, Rouen
OTHER
Responsible Party
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Principal Investigators
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Emilie EO OCCHIALI, Doctor
Role: STUDY_CHAIR
Surgical Intensive Care Unit, UH of Rouen
Locations
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Service d'Anesthésie-Réanimation
Amiens, , France
Department of Anaesthesia and Intensive Care
Brest, , France
Surgical Intensive Care Department
Rouen, , France
Department of Anaesthesia, Intensive Care and Perioperative Medicine
Vandœuvre-lès-Nancy, , France
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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IDRCB : 2023-A02724-41
Identifier Type: OTHER
Identifier Source: secondary_id
2023/0271/OB
Identifier Type: -
Identifier Source: org_study_id
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