Early versus standard oral feeding after emergency bowel surgery
COMPARATIVE OUTCOME OF EARLY AND STANDARD ORAL FEEDING AFTER EMERGENCY BOWEL SURGERY
NA · Gulab Devi Hospital · NCT07047729
This will see if starting liquids within 24 hours after emergency bowel surgery helps people recover faster than waiting until bowel function returns.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Gulab Devi Hospital (other) |
| Locations | 1 site (Lahore, Punjab Province) |
| Trial ID | NCT07047729 on ClinicalTrials.gov |
What this trial studies
Sixty adults undergoing emergency abdominal bowel surgery will be randomly assigned to one of two groups managed by a single experienced surgical team. One group will begin a liquid diet within 24 hours after surgery and move to a regular diet if tolerated, while the other group will remain NPO until clinical resolution of ileus before starting liquids. Tolerance will be monitored by watching for vomiting after resuming a regular diet and hospital discharge will be recorded once a regular diet is tolerated for 24 hours. Data including demographics, comorbidities, and length of stay will be collected on a predefined form.
Who should consider this trial
Good fit: Adults of either sex needing emergency abdominal surgery for bowel obstruction, perforation, or blunt or penetrating abdominal trauma who can consent or have a legal representative are eligible candidates.
Not a fit: Patients requiring palliative surgery for terminal cancer, those who had surgery in the prior 30 days, patients on regular renal replacement therapy, and pregnant women are excluded and unlikely to benefit from this protocol.
Why it matters
Potential benefit: If successful, patients could tolerate oral intake sooner and have shorter hospital stays and faster recovery.
How similar studies have performed: Early postoperative feeding is supported by ERAS and elective surgery studies, but evidence specifically for emergency bowel surgery is more limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Either Gender * Requiring emergency surgery due to conditions such as obstructive bowel disease, GI perforation, colorectal surgery, blunt abdominal trauma (resulting from falls or roadside accidents), and penetrating abdominal trauma (involving firearm injuries and stab wounds). Exclusion Criteria: * Patients with terminal cancer need palliative surgery (as their focus is on comfort care rather than surgical intervention). * Patients who had undergone surgery within the past 30 days (to avoid potential complications associated with recent surgical procedures). * Patients receive regular renal replacement therapy (to prevent additional stress on their medical condition). * Pregnant women (as surgical interventions may pose risks to both the mother and the unborn child).
Where this trial is running
Lahore, Punjab Province
- Gulab Devi Hospital Lahore — Lahore, Punjab Province, Pakistan (RECRUITING)
Study contacts
- Study coordinator: Dr Umnah Noor, MBBS
- Email: umnahnoor@gmail.com
- Phone: +923414498885
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Bowel Surgery, Emergency Abdominal Surgery, ERAS