Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Prehabilitation: 1. PERT (Pancreatic Enzyme Replacement Therapy) by supplementing Pancreatin 25000 IU BD
2.Targeted Physiotherapy
a. 4000 minimum step target per day
b.resistance band
Sponsors
AIIMS
Eligibility
Inclusion criteria
Inclusion criteria: Age more than 18 years of age ASA less than or equal to 3 Patients who are planned for major pancreatic resection
Exclusion criteria
Exclusion criteria: Patients who undergo Enucleation, Debridement, Multivisceral resection (except Distal pancreatosplenectomy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of major postoperative complications Clavien Dindo grade more than or equal to 3Timepoint: Post operative day 4,7,14,21,28,30 | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinically relevant postoperative pancreatic fistula (CR-POPF) (Grades B C). Delayed gastric emptying (DGE) (Grades A C; clinically relevant B C reported separately). Post Pancreatectomy Hemorrhage Postoperative pulmonary complications defined by standard clinical/radiologic criteria. Overall complication rate (all Clavien Dindo grades) within 30 days. Length of postoperative hospital stay (days) from index admission until discharge. Any ICU admission & duration (days) 90 day mortality. Readmission rateTimepoint: Post operative day 4,7,14,21,28,30 | — |
Countries
India
Contacts
Public ContactDr Peeyush Varshney
AIl India Institute of Medical Sciences, Jodhpur
Outcome results
None listed