Gastrointestinal Cancer Clinical Trial
Official title:
Effect of COX-2 Selective Inhibitors on Postoperative Insulin Resistance, Tramadol PCA and Early Postoperative Enteral Nutrition in Patients After Gastrointestinal Laparoscopic Surgery
It is well established that the resistance to the effects of insulin on glucose metabolism
develops with a lot of stress hormone release after surgical trauma. This condition is known
as insulin resistance (IR) characterized by hyperglycemia, hyperinsulinemia and lactic
acidosis. Surgical IR not only affect glucose metabolism but also influence protein
synthesis, then further exacerbate the depletion of the carbohydrate, fat and protein.
Postoperative pain is a challenging task for patients and surgeons, and it is part of the
stress response to trauma and surgery, while the fear of pain can exacerbate the stress
response.
The main aim of this study was to invest whether effective postoperative analgesia can
reduce the stress response and insulin resistance.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Supportive Care
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