Effect of Acupuncture on Postoperative Ileus After Gastric Surgery (EAPIG)
- Conditions
- Ileus
- Registration Number
- NCT02480361
- Lead Sponsor
- Daegu Catholic University Medical Center
- Brief Summary
Postoperative ileus (POI) is a common problem after major abdominal surgery. Acupuncture is being accepted in the West as a treatment option for managing POI and various functional gastrointestinal disorders. Therefore, we conducted a prospective randomized pilot study to evaluate the effect of electro-acupuncture on POI and other surgical outcomes in patients who underwent gastric surgery for a later large-scale study.
- Detailed Description
Before surgery, patients were randomized (using simple randomization) to either acupuncture (A) group or non-acupuncture (NA) group. In both groups, sitz markers were inserted in duodenum or jejunum during surgery for detection of postoperative remnant sitz markers by Xray. In the A group, acupuncture treatment was given once daily for up to 5 consecutive days starting on postoperative day 1. The acupuncture points which were used were based on traditional Korean medicine. No acupuncture treatment was performed in the NA group.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 10
- Patients undergoing elective surgery for gastric cancers
- Patients with American Society of Anesthesiologists grades I-III
- Patients who provided written informed consent
- Patients who developed intraoperative problems or complications
- Patients with contraindications to had electrical stimulation devices (pacemaker or implantable defibrillator)
- Patients who were allergic to acupuncture needle
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Remnant sitz markers in small intestine at postoperative day 1 measured in postoperative day 1 Numbers of of remnant sitz markers in the small intestine that did not pass through ileo-cecal valve, measured by X-ray on postoperative day 1.
Remnant sitz markers in small intestine at postoperative day 3 measured in postoperative day 3 Numbers of of remnant sitz markers in the small intestine that did not pass through ileo-cecal valve, measured by X-ray on postoperative day 3.
Remnant sitz markers in small intestine at postoperative day 5 measured in postoperative day 5 Numbers of of remnant sitz markers in the small intestine that did not pass through ileo-cecal valve, measured by X-ray on postoperative day 5.
Remnant sitz markers in small intestine at postoperative day 7 measured in postoperative day 7 Numbers of of remnant sitz markers in the small intestine that did not pass through ileo-cecal valve, measured by X-ray on postoperative day 7.
- Secondary Outcome Measures
Name Time Method Time to first flatus up to 5 dyas start of water intake up to 7days start of soft diet up to 7days hospital stay up to 2 weeks