Complication
Conditions
Keywords
ERCP, ERAS, complication, fatigue, high carbohydrate diet
Brief summary
To test the benefits of extra high carbohydrate liquid diet uptake 2 hours before ERCP in improving patients' early recovery.
Detailed description
Enhanced recovery after surgery (ERAS) has been formed of procedure which contains preoperative education, improvement of anesthesia, reducing the number of drainage tubes, and early diet after surgery. In recent years, because of its positive advantages, ERAS was widely accepted in surgical fields. For upper gastrointestinal surgery, high-carbohydrate drinks can be given 2 hours before surgery in order to guarantee the stability of blood glucose and circulation during the operation. It obviously reduce the preoperative thirst, hunger, irritability and even the incidence of postoperative complications. However ERAS program is rarely studied in ERCP. Theoretically we can use ERAS as a strategy to reduce post-ERCP uncomfortable and complications.
Interventions
PROCEDURE400ml high carbohydrate liquid diet before ERCP
400ml high carbohydrate liquid diet uptake 2 hours before ERCP
Sponsors
Hepatopancreatobiliary Surgery Institute of Gansu Province
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* ERCP patients, * Age 18-85 years old.
Exclusion criteria
* Coagulation dysfunction (INR\> 1.3) and low peripheral blood platelet count(\<50×109 / L) or using anti-coagulation drugs, * Preoperative coexistent diseases: acute pancreatitis, GI tract hemorrhage, severe liver disease, shock, liver or kidney malfunction, * Diabetes（blood glucose fluctuations）or with complications, * Intestinal obstruction or other contraindications with feeding and watering, * Prior surgery of Bismuth Ⅱ and Roux-en-Y, * Pregnant women, * Unwillingness or inability to consent for the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Levels of fatigue (Fatigue Scale-14 scoring system) | 6 months | The patients always feel tired and faint. The clinical manifestation includes slow to respond, the flexibility and coordination disorders. |
| Abdominal pain | 6 months | Pain score (scores:1-10) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative abdominal distention | 6 months | Distention uncomfortable |
| Postoperative nausea and vomiting | 6 months | Nausea or vomiting after procedure |
| Complications | 6 months | Pancreatitis, cholangitis, bleeding, aspiration, et,al. |
| The average incubation time | 6 months | The time of total procedure |
| Intraoperative residues in stomach | 6 months | The volume of stomach residues |
| The time eating | 6 months | The time of eager to eat after procedure |
| Length of hospital stay | 6 months | Days of hospital stay |
| Blood glucose | 6 months | Intra-operative blood glucose and 2 hours' blood glucose after procedure |
| Successful cannulation time | 6 months | From first achieve the papilla to success cannulation |
Countries
China
Outcome results
None listed