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The traditional postoperative care after abdominal surgery included the need of nasogastric tube, fasting until resumed bowel function and progressive reinstitution of oral intake from liquid to solid diet. Recent studies have shown no benefits of this traditional management over early oral feeding. Nevertheless, the researches in emergency surgery are scarce.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early oral feeding | Experimental |
| |
| Traditional Care | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early oral feeding | Other | Within 6-24 hours after surgery the nasogastric tube will be removed and liquids and soft diet "at will" indicated. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Complications | The rate of postoperative complications according with Clavien-Dindo classification, defined as "any deviation from the normal postoperative course". | At 30 days or at discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Gastrointestinal leaks | "the leak of luminal contents from a surgical join between two hollow viscera or from surgical repair of continuity solution. The luminal contents may emerge either through the wound or at the drain site, or they may collect near the anastomosis or rapair, causing fever, abscess, septicaemia, metabolic disturbance and/or multiple-organ failure. The escape of luminal contents intoan adjacent localised area, detected by imaging, in the absence of clinical symptoms and signs should be recorded as a subclinical leak" |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Roberto F Klappenbach, MD | Argerich Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Argerich Hospital | Buenos Aires | Buenos Aires | Argentina |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23807124 | Derived | Klappenbach RF, Yazyi FJ, Alonso Quintas F, Horna ME, Alvarez Rodriguez J, Oria A. Early oral feeding versus traditional postoperative care after abdominal emergency surgery: a randomized controlled trial. World J Surg. 2013 Oct;37(10):2293-9. doi: 10.1007/s00268-013-2143-1. |
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| Traditional Care | Other | They will have nasogastric tube and restriction of oral intake until the first sign of restoration of intestinal transit (first flatus or stool, whichever comes first). Since then withdrew nasogastric tube and liquid diet starts within 24 hours, then continues with soft diet. |
|
| At 30 days or at discharge |
| Time to resume bowel functions | Time from surgery to the first flatus or deposition, whatever occurs first | At 30 days or at discharge |
| Oral diet intolerance | The appearance of vomits or abdominal pain after diet | At 30 days or at discharge |
| Postoperative hospital stay | Postoperative hospital stay | At 90 days |