Abdominal Massage for Gastric Residual Volume in Surgical Patients

NCT ID: NCT07018414

Last Updated: 2025-06-12

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-05

Study Completion Date

2025-04-05

Brief Summary

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This randomized controlled trial aimed to evaluate the effect of abdominal massage on gastric residual volume (GRV) and abdominal distension in surgical intensive care patients receiving enteral nutrition. The intervention group received 20-minute abdominal massage sessions twice daily for 3 consecutive days. Outcomes included changes in GRV, abdominal circumference, feeding volume, and gastrointestinal tolerance parameters.

Detailed Description

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Gastric residual volume (GRV) monitoring is commonly used in critically ill patients receiving enteral nutrition to assess gastrointestinal dysfunction, although current guidelines present conflicting recommendations regarding its necessity. Abdominal distension is a frequent complication during enteral feeding in surgical ICU patients. Non-pharmacological interventions such as abdominal massage have shown promise in improving gastrointestinal motility and enteral tolerance.

This study included 84 surgical ICU patients who met the inclusion criteria and were randomly assigned to intervention (n=42) and control (n=42) groups. The intervention group received abdominal massage twice daily for 20 minutes over three days. Data were collected using standardized forms and analyzed with appropriate statistical tests including independent samples t-test, Mann-Whitney U, repeated measures ANOVA, and chi-square tests. The findings suggest that abdominal massage may help stabilize GRV levels, reduce abdominal circumference, and increase nutritional intake without increasing complications.

Conditions

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Gastric Residual Volume Abdominal Distension Enteral Nutrition Massage Therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study utilized a parallel assignment model, in which participants were randomly assigned to either the intervention group (receiving abdominal massage) or the control group (receiving standard care) in a 1:1 ratio. Each participant received only one type of intervention throughout the study period. The intervention was applied twice daily for 20 minutes over three consecutive days.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

This study was conducted as an open-label trial, with no masking of participants, healthcare providers, or outcome assessors. Due to the nature of the intervention (abdominal massage), blinding was not feasible. However, data collection and statistical analyses were performed by researchers not involved in delivering the intervention to minimize potential bias.

Study Groups

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Abdominal Massage Group

Patients in this group received abdominal massage for 20 minutes, twice daily, for three consecutive days after the initiation of enteral nutrition.

Group Type EXPERIMENTAL

Abdominal Massage

Intervention Type BEHAVIORAL

Non-pharmacological intervention involving manual massage of the abdomen to support gastric motility and reduce gastric residual volume and abdominal distension in enterally fed surgical ICU patients.

Control Group

Patients in this group received standard postoperative care without abdominal massage.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Abdominal Massage

Non-pharmacological intervention involving manual massage of the abdomen to support gastric motility and reduce gastric residual volume and abdominal distension in enterally fed surgical ICU patients.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Receiving enteral nutrition via nasogastric tube
* No prior abdominal surgery
* No invasive devices (e.g., drains, catheters) in the abdominal area

Exclusion Criteria

* Receiving enteral nutrition via PEG or PEJ
* Receiving only parenteral nutrition
* History of abdominal surgery
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Marmara University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Seyrantepe Hamidiye Etfal Training and Research Hospital, Surgical Intensive Care Units

Istanbul, İ̇stanbul, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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ABMGRVSICU

Identifier Type: -

Identifier Source: org_study_id

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