Postoperative Ileus Clinical Trial
Official title:
A Prospective Randomized Trial of Low Fiber Diet vs. Regular Diet in Postoperative Colorectal Patients With Ileostomies
The primary objective of this study is to prospectively evaluate rate of post-operative ileus or obstruction in patients with ileostomies receiving low fiber diet vs. regular diet starting post-operative day 1. The secondary objectives of this study are to compare the 30-day and 90-day readmission rates, length of stay, rate of high stoma output or need for antidiarrheals within 90 days, nausea score, level of pain, and overall quality of life amongst the patients studied.
Status | Recruiting |
Enrollment | 160 |
Est. completion date | December 31, 2023 |
Est. primary completion date | December 31, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 90 Years |
Eligibility | Inclusion Criteria: 1. Male or Female 2. Undergoing elective or urgent major laparoscopic or open colorectal procedure resulting in new loop or end ileostomy creation 3. Urgent colorectal surgery is defined as operations performed during the same hospital admission, but greater than 24hrs after decision for surgery is made. Patients undergoing urgent colorectal surgery are not expected to require intensive care unit (ICU) admission postoperatively. 4. Willingness and ability to sign an informed consent document 5. No allergies to anesthetic or antiemetic 6. ASA physical status Class I - III 7. Aged 18-90 years Exclusion Criteria: 1. Refusal to participate in the study 2. Undergoing emergent colorectal surgery. Emergent colorectal surgery is defined as patients who require immediate surgery < 24hrs after initial decision for surgery is made 3. Patients expected to require intensive care unit (ICU) admission postoperatively 4. Age <18 or > 90 years 5. Pregnancy 6. Patient with preoperative short-bowel syndrome or proximal stomas (jejunostomy) 7. Patients on preoperative total parenteral nutrition not expected to immediately commence postoperative enteral nutrition 8. Patients maintained NPO for any reason after surgery |
Country | Name | City | State |
---|---|---|---|
United States | Cedars Sinai Medical Center | Los Angeles | California |
Lead Sponsor | Collaborator |
---|---|
Cedars-Sinai Medical Center |
United States,
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Rate of postoperative ileus and obstruction | evaluate rate of post-operative ileus or obstruction in patients with ileostomies receiving low fiber diet vs. regular diet starting post-operative day 1. | 90 days postoperatively | |
Secondary | Hospital readmission rates | Hospital readmission rates | 90 days postoperatively | |
Secondary | Hospital length of stay | Hospital length of stay | Up to 90 days postoperatively | |
Secondary | Volume of stoma output | Average daily volume of stoma output | 90 days postoperatively | |
Secondary | Need for antidiarrheal use | Need for antidiarrheal use | 90 days postoperatively | |
Secondary | Average maximum daily nausea score | Average maximum daily nausea score on a scale of 0 to 2. A score of 0 means no presence of nausea, 1 denotes presence of nausea, and 2 denotes presence of vomiting. A higher score up to a maximum of 2 means a worse outcome compared to a lower score. | 90 days postoperatively | |
Secondary | Average maximum daily pain score | Average maximum daily pain score on a scale of 0 to 10. A score of 0 means a patient has no pain. A higher score up to the maximum of 10 means a worse outcome. | 90 days postoperatively | |
Secondary | Quality of life | Quality of life assessed using the Gastrointestinal Quality of Life Index (GIQLI) questionnaire. The GIQLI questionnaire has 36 items, each item is scored 0 to 4. The GIQLI has a range of 0 to 144. Higher score up to a maximum of 144 means better outcome. | 90 days postoperatively |
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