Health Condition 1: C18- Malignant neoplasm of colon Health Condition 2: C19- Malignant neoplasm of rectosigmoidjunction Health Condition 3: C20- Malignant neoplasm of rectum
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients admitted for elective colorectal surgery in JIPMER more than 18 years of age
Exclusion criteria
Exclusion criteria: 1. Recurrent CRC 2. Emergency surgeries 3. Metastatic disease 4. Known cases of chronic diseases such as uncontrolled diabetes mellitus, uncontrolled hypertension, hematological illnesses. 5. Cases of psychiatric illnesses, in which cases consent will not be there.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the effect of oral carbohydrate loading and preoperative prolonged fasting on The post operative complications on the basis of Clavein-Dindo classification, and GRADE 1Elevated serum creatine Confusion GRADE 2Pneumonia Delirium Uro-infection Wound infection GRADE 3Anastomotic leakage Ileus Abdominal wall dehiscence Reoperation GRADE 4Respiratory failure Renal failure Septic Shock MODS GRADE 5Death of patient Timepoint: upto 30 days post operatively | — |
Secondary
| Measure | Time frame |
|---|---|
| 2. The post operative time to discharge based on fulfillment of the following criteria: A. Passage of stools/ Functional moving stoma B. Tolerating soft diet C. No or minimal tolerable abdominal pain D. Drain removed/ Drain output less than 30ml E. No SSI requiring in hospital dressing and IV antibiotics Timepoint: upto point of discharge;to compare the effect of oral carbohydrate loading group and prolonged fasting group over post operative neutrophil to lymphocyte ratio and the significance of changeTimepoint: preoperative day before surgery post operative day 1,3 and 5 | — |
Countries
India
Contacts
Jawaharlal Institute of Postgraduate Medical Education and Research