GI Surgery Pre-Operative Nutrition
NCT01471743 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 108
Last updated 2016-02-23
Summary
Surgical patients are high risk for post operative infections. These post operative infections contribute to increased length of hospital stay, hospital costs and delay overall recovery time thus decreasing the quality of life. Studies have reported post operative complications ranging from 37% to 74%.1 The most costly complications include infectious complications after major Gastrointestinal (GI) surgery including wound infections, abdominal abscess, pneumonia, sepsis and anastomic leaks.2 Several studies have been conducted that show a significant reduction in infectious complications and average length of stay when treated with immunonutrition supplements.2-3 A review of similarly designed studies in a different patient population indicate that post-operative infections can be reduced by an average of 71% with immunonutrition.
This study seeks to investigate the effect of Impact Advanced Recovery ® in improving surgical outcomes in patients receiving major gastrointestinal surgeries compared to a standard supplement at James A. Haley Veterans' Hospital. Providing Impact Advanced Recovery ® may decrease post-operative infectious complications, length of stay, and recovery time.
Hypothesis
1. In patients receiving elective gastrointestinal surgery (esophageal, gastric, pancreatic or colon resections) there will be a significant decrease of at least 60% in post-operative infections as listed below for patients who consume 15 servings of Impact Advanced Recovery® pre-operatively compared to patients who consume 15 servings of a standard supplement.
Complications to be considered: anastomatic leak, post-op wound development, post-op abdominal abscess, sepsis, pneumonia, post-op ileus, intestinal fistula, obstruction, urinary tract infections, peritonitis or bowel necrosis.
2. In patients receiving elective gastrointestinal surgery (esophageal, gastric, pancreatic or colon resections) there will be a significant decrease in hospital and NPO days for patients who consume 15 servings of Impact Advanced Recovery ® pre-operatively.
Conditions
- Immunonutrition
Interventions
- DIETARY_SUPPLEMENT
-
Impact Advance Recovery (R)
- DIETARY_SUPPLEMENT
-
Ensure Plus (R)
Sponsors & Collaborators
-
James A. Haley Veterans Administration Hospital
lead FED
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-11-30
- Primary Completion
- 2016-02-29
- Completion
- 2016-02-29
Countries
- United States
Study Locations
More Related Trials
-
The Role of Preoperative Oral Immunonutrition in Major Vascular Surgery
NCT00559520 ·Status: COMPLETED ·Phase: PHASE4
-
PeRioperative Optimization With Nutritional Supplements for Patients Undergoing GastRointEStinal Surgery for Cancer
NCT03445260 ·Status: COMPLETED ·Phase: NA
-
Impact of Various Diets on Surgical Complications
NCT05069402 ·Status: COMPLETED ·Phase: NA
-
Preoperative Nutritional Support in Esophagectomy or Pancreaticoduodenectomy
NCT00585624 ·Status: COMPLETED ·Phase: NA
-
Effects of 3 Day Preoperative Immunonutrition in Well-nourished Patients With Gastrointestinal (GI) Cancer Undergoing Surgery
NCT01023412 ·Status: TERMINATED ·Phase: NA
-
Carbohydrates and Proteins 3h Before Surgery
NCT01563965 ·Status: COMPLETED ·Phase: PHASE3
-
Perioperative Immunonutrition in Patients Undergoing Gynecologic or General Elective Surgery (PURPOSE)
NCT04057092 ·Status: COMPLETED ·Phase: NA
-
Perioperative Oral Nutrition Intervention for Patients Undergoing Radical Cystectomy
NCT02050451 ·Status: COMPLETED ·Phase: NA
-
Perioperative Immunonutrition, Phagocytic and Bactericidal Activity of Blood Platelets in Gastric Cancer Patients
NCT01704664 ·Status: UNKNOWN ·Phase: NA
-
Preoperative High Protein vs Immunodiet in Surgical Cancer Patients
NCT03980704 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Immune Formula in Gastrointestinal Cancer Patients Undergoing Cancer Surgery
NCT06825221 ·Status: COMPLETED ·Phase: NA
-
Preoperative Immunonutrition in Laparoscopic Total D2 Gastrectomy
NCT05259488 ·Status: COMPLETED
-
Effects of Nutritional Preconditioning on the Patient's Outcomes After Surgery
NCT03692507 ·Status: UNKNOWN ·Phase: NA
-
Effectiveness of Intensive Perioperative Nutrition Therapy Among Adults Undergoing Gastrointestinal & Oncology Surgery
NCT04347772 ·Status: UNKNOWN ·Phase: NA
-
Whey Protein-based Enteral Nutrition Support to Improve Protein Economy in Surgical Patients
NCT01276795 ·Status: COMPLETED ·Phase: NA
-
Prehabilitation to Overcome the Stress of Surgery: the Role of Nutrition in Enhancing Postoperative Functional Capacity
NCT01727570 ·Status: COMPLETED ·Phase: NA
-
Preoperative Oral Immunonutrition for Patients With Pancreatic Cancer Undergoing Elective Surgery - Effect on Complications and Length of Hospital Stay
NCT01789073 ·Status: COMPLETED ·Phase: NA
-
The Impact of the Type and Route of Nutritional Support on Infectious Complications After Upper Gastrointestinal Surgery
NCT00732849 ·Status: COMPLETED ·Phase: PHASE4
-
Oral Versus Parenteral Nutrition Support to Improve Protein Balance in Colorectal Surgical Patients
NCT01222208 ·Status: COMPLETED ·Phase: NA
-
Manipulation of the Gut Microbiome by a Standardized Preoperative Diet to Prevent Colorectal Cancer Recurrence and Metastasis Following Surgery
NCT06349590 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Postoperative Diet With Hyperproteic Supplement Versus a Supplement With Imunonutrients, in Colorectal Cancer Surgery
NCT04059731 ·Status: UNKNOWN ·Phase: NA
-
Postoperative Enteral Immunonutrition in Gastric Cancer
NCT02647476 ·Status: COMPLETED ·Phase: PHASE3
-
Perioperative Nutrition in Upper Gastrointestinal (GI) Cancer Surgery
NCT00560846 ·Status: TERMINATED ·Phase: NA
-
Mechanistic Prehabilitation
NCT01919541 ·Status: WITHDRAWN ·Phase: NA
-
The Impact of Preoperative Oral Glutamine Intake on the Immunocompetence and Outcomes of Malnourished Patients Undergoing Major Abdominal Surgery Due to Malignancies
NCT01552291 ·Status: COMPLETED ·Phase: PHASE4