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The benefits of short-term naso-gastric feeding in patients with advanced cirrhosis remain uncertain. This was a randomised study comparing naso-gastric feeding and oral feeding in Asian patients with cirrhosis who were admitted to hospital for decompensation.
Consecutive patients with decompensated cirrhosis who fitted the inclusion criteria, will be randomised to either naso-gastric or oral feeding. Total feeding will be for 2 weeks only. Following intervention specific nutritional and liver-related parameters will be measured during the 2 weeks and up to 6 weeks later. Comparison between both groups will then be made.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Naso-gastric tube feeding | Experimental |
| |
| Oral feeding | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Osmolite and B.C.A.A. | Dietary Supplement | Feeding inserted into enteral tubes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in Child-Pugh score | Change in the Child-Pugh score, assessing liver damage in cirrhosis | Up to 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in nutritional parameters | Improvement in nutritional anthropometry and assessment tool markers after intervention | up to 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sanjiv Mahadeva, MRCP | University of Malaya | Study Director |
| Mei-Ling S Tai, MRCP | University of Malaya | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Malaya Medical Centre | Kuala Lumpur | Kuala Lumpur | 59100 | Malaysia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 2105256 | Result | Cabre E, Gonzalez-Huix F, Abad-Lacruz A, Esteve M, Acero D, Fernandez-Banares F, Xiol X, Gassull MA. Effect of total enteral nutrition on the short-term outcome of severely malnourished cirrhotics. A randomized controlled trial. Gastroenterology. 1990 Mar;98(3):715-20. doi: 10.1016/0016-5085(90)90293-a. | |
| 16141996 | Result |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Aug 9, 2011 | |
| Reset | Sep 12, 2011 | |
| Release | Jun 28, 2013 | |
| Unrelease | Yes | |
| Release | Nov 24, 2013 | |
| Reset | Jan 10, 2014 | |
| Release | May 6, 2014 | |
| Reset | May 31, 2014 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Aug 9, 2011 | Sep 12, 2011 | |||
| Jun 28, 2013 |
| ID | Term |
|---|---|
| D005355 | Fibrosis |
| D044342 | Malnutrition |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| C080652 | Osmolite |
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| Normal oral intake & supplementation if necessary | Dietary Supplement | Enteral nutrition |
|
|
| Campillo B, Richardet JP, Bories PN. Enteral nutrition in severely malnourished and anorectic cirrhotic patients in clinical practice. Gastroenterol Clin Biol. 2005 Jun-Jul;29(6-7):645-51. doi: 10.1016/s0399-8320(05)82150-5. |
| 12781851 | Result | Campillo B, Richardet JP, Scherman E, Bories PN. Evaluation of nutritional practice in hospitalized cirrhotic patients: results of a prospective study. Nutrition. 2003 Jun;19(6):515-21. doi: 10.1016/s0899-9007(02)01071-7. |
| 9252101 | Result | Kondrup J, Muller MJ. Energy and protein requirements of patients with chronic liver disease. J Hepatol. 1997 Jul;27(1):239-47. doi: 10.1016/s0168-8278(97)80308-x. No abstract available. |
| 16844569 | Result | Plauth M, Merli M, Kondrup J, Weimann A, Ferenci P, Muller MJ; ESPEN Consensus Group. ESPEN guidelines for nutrition in liver disease and transplantation. Clin Nutr. 1997 Apr;16(2):43-55. doi: 10.1016/s0261-5614(97)80022-2. No abstract available. |
| 15723736 | Result | Alvares-da-Silva MR, Reverbel da Silveira T. Comparison between handgrip strength, subjective global assessment, and prognostic nutritional index in assessing malnutrition and predicting clinical outcome in cirrhotic outpatients. Nutrition. 2005 Feb;21(2):113-7. doi: 10.1016/j.nut.2004.02.002. |
| Yes |
| Nov 24, 2013 | Jan 10, 2014 |
| May 6, 2014 | May 31, 2014 |