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When to Start TPN After Surgery in Neonates

Early Versus Late Initiation of Postoperative TPN in Neonates: A Retrospective Study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT1041250204
Enrollment
240
Registered
2026-03-13
Start date
2026-04-01
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Esophageal atresia, imperforate anus, duodenal atresia, diaphragmatic hernia, etc.

Interventions

Comparison of starting TPN within 24 hours vs. after 7 days post-surgery.

Sponsors

Sato Yoshiaki
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Neonates scheduled to undergo gastrointestinal surgery within the first month of life. 2) Cases scheduled for postoperative total parenteral nutrition (TPN).

Exclusion criteria

Exclusion criteria: Cases in which TPN cannot be used due to liver dysfunction (prolonged INR > 1.5 with the presence of hepatic encephalopathy, or INR > 2.0, both involving acute liver synthetic failure not corrected by vitamin K administration) or metabolic disorders (clinical symptoms or laboratory findings suggestive of inborn errors of metabolism). Other cases deemed inappropriate by the attending physician.

Design outcomes

Primary

MeasureTime frame
Incidence of infectious diseases requiring antibiotic administration within 30 days postoperatively, other than perioperative prophylactic antibiotics.

Secondary

MeasureTime frame
the duration of mechanical ventilation, length of hospital stay, physical growth rates, and neurodevelopmental test results at 18 months of age.etc

Contacts

Public ContactNao Takami

Department of Pediatrics and Neonatology, Nagoya University Graduate School of Medicine

nhatt222@gmail.com+81-52-741-2111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026