Comparison of Early Versus Late Resumption of Enteral Feeding After Small Bowel Anastomosis.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Khyber Teaching Hospital
- Enrollment
- 204
- Locations
- 1
- Primary Endpoint
- Time to passage of stool/flatus
Study Overview
Brief Summary
Resumption of oral feeding after small intestine surgery is a matter of controversy .Some surgeons advocate early resumption while others don't.early feeding is initiated as soon as the patient recovers from effects of anaesthesia, while late resumption is started after 24-48 hours after surgery.Recent studies and guidelines suggest early feeding. The aim of this study is to compare the early and late resumption of oral feeding.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 15 Years to 65 Years (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All patients undergoing small bowel anastomosis for any indication in elective setting
- •Patients of age between 15 to 65 years.
- •All genders
Exclusion Criteria
- •Patient using glucocorticoids or other immunosuppressive drugs
- •non conseting individuals
- •Patient having history of gastrectomy
Arms & Interventions
Early group
Early group includes patients in whom enteral feeding is resumed within 24 hours once fully conscious from effects of anesthesia
Intervention: resumption of enteral feeding within 24 hours of surgery (Other)
Early group
Early group includes patients in whom enteral feeding is resumed within 24 hours once fully conscious from effects of anesthesia
Intervention: resumption of enteral feeding after 24-48 hours (Other)
Late group
Late group includes patients in whom enteral feeding is started 24-48 hours after recovery from anesthesia
Intervention: resumption of enteral feeding within 24 hours of surgery (Other)
Late group
Late group includes patients in whom enteral feeding is started 24-48 hours after recovery from anesthesia
Intervention: resumption of enteral feeding after 24-48 hours (Other)
Outcomes
Primary Outcomes
Time to passage of stool/flatus
Time Frame: Upto 2 weeks from surgery .From the time of surgery to passage of stool or flatus or death due to any cause, whichever comes first.
Time to passage of stool or flatus after surgery ,as reported by the patient or noticed by nurse.Time will be measured in day(s).
Secondary Outcomes
- Hospital stay(Upto 50 weeks postoperatively ,From surgery to discharge or death , whichever comes first.)
- Vomiting(Upto 50 weeks postoperatively ,From surgery to discharge or death , whichever comes first.)
Investigators
Dr Saeed Sarwar
Doctor
Khyber Teaching Hospital