Health Condition 1: K35-K38- Diseases of appendix Health Condition 2: K20-K31- Diseases of esophagus, stomach and duodenum Health Condition 3: K70-K77- Diseases of liver Health Condition 4: K80-K87- Disorders of gallbladder, biliary tract and pancreas Health Condition 5: K55-K64- Other diseases of intestines Health Condition 6: K90-K95- Other diseases of the digestive system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients admitted for elective surgery for GI malignancy in Surgical Gastroenterology department in AIIMS Patna Age more than 18 years If the disease turns out to be metastatic at some later point in the study
Exclusion criteria
Exclusion criteria: Emergency surgeries Metastatic disease Patients presenting with Gastric outlet obstruction, Dysphagia, Intestinal Obstruction Known cases of chronic diseases such as uncontrolled Diabetes Mellitus(HbA1c more than or equal to 6.5%), Chronic Liver Disease, Chronic Kidney Disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the effect of oral carbohydrate loading and preoperative prolonged fasting over the Insulin resistance seen post operatively in patients undergoing surgery for Gastrointestinal malignancies using the HOMA-IR calculatorTimepoint: Pre-operatively, Post operative day 1, Post operative Day 3 | — |
Secondary
| Measure | Time frame |
|---|---|
| The post operative complications on the basis of Clavein-Dindo classificationTimepoint: Pre-operatively, Post operative day 1, Post operative Day 3;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 50ml Timepoint: Pre-operatively, Post operative day 1, Post operative Day 3;The post operative CRP in patients undergoing surgery for Gastrointestinal malignanciesTimepoint: Pre-operatively, Post operative day 1, Post operative Day 3 | — |
Countries
India
Contacts
All India Institute of Medical Sciences (AIIMS), Patna