The Effect of ERAS on Pancreaticoduodenectomy
NCT02372331 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 276
Last updated 2017-06-09
Summary
Enhanced Recovery After Surgery (ERAS) is not the program that aim to reduce postoperative hospital stay, but the multimodal strategies that aim to attenuate the loss of, and improve the restoration of,functional capacity after surgery on evidence-based medicine. The benefits of ERAS is proved in many surgical procedures, such as upper gastrointestinal surgery and colorectal surgery. However, pancreaticoduodenectomy (PD, Whipple's operation) is still one of most complex abdominal surgery, and there is no evidence that ERAS is beneficial on PD.
This study investigate the clinical effectiveness of ERAS on PD.
Conditions
- Periampullary Tumor
Interventions
- OTHER
-
ERAS perioperative management
* Preop Counseling * Preop biliary drainage (X) when Serum Total bilirubin \< 14.62mg/dl and cholangitis (-) * Preop enteral nutrition * Oral bowel preparation (mechanical bowel preparation ) (X) * Preop fasting \< 6 hours * Prevention of postoperative nausea and vomiting (PONV) (O) * Nasogastric intubation (X) * Near-zero fluid balance * Somatostatin analogues (X) * Postop routine artificial nutrition (X), soft diet at POD #2 * Audit * Other items are same as conventional
Sponsors & Collaborators
-
Asan Medical Center
lead OTHER
Principal Investigators
-
Dae Wook Hwang, M.D. · Asan Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-03-04
- Primary Completion
- 2017-05-10
- Completion
- 2017-05-26
Countries
- South Korea
Study Locations
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