Randomized Clinical Trial of Early Oral Feeding Versus Traditional Postoperative Care in Emergency Abdominal Surgery
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Postoperative Care
- Sponsor
- Hospital General de Agudos "Dr. Cosme Argerich"
- Enrollment
- 336
- Locations
- 1
- Primary Endpoint
- Postoperative Complications
- Status
- Completed
- Last Updated
- 13 years ago
Overview
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.
Investigators
Klappenbach Roberto
Investigator
Hospital General de Agudos "Dr. Cosme Argerich"
Eligibility 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
Outcomes
Primary Outcomes
Postoperative Complications
Time Frame: 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 Outcomes
- Gastrointestinal leaks(At 30 days or at discharge)
- Time to resume bowel functions(At 30 days or at discharge)
- Oral diet intolerance(At 30 days or at discharge)
- Postoperative hospital stay(At 90 days)