Postoperative Ileus
Conditions
Brief summary
Post-operative ileus (post-op ileus) is a condition which can occur after surgery. This means that the bowels stop working correctly and food and liquids will not pass through in the normal manner. Post-op ileus can be uncomfortable and require a longer hospital stay until the bowels begin to function correctly again. Currently there are no effective methods for preventing post-op ileus. Some studies suggest there is a benefit from drinking coffee following colon or gynecological cancer surgeries with very little risk. However, the effects of coffee following small bowel surgery have not been studied. This randomized, controlled trial will compare the outcomes of patients who receive coffee during their hospital stay after small bowel surgery to similar patients who receive warm water. About 60 patients will be in each group. The main outcomes are time until the nasogastric tube is removed and length of hospital stay.
Interventions
DIETARY_SUPPLEMENTCoffee
Brewed, caffeinated coffee, 100 cc's each dose
OTHERWater
Tap water heated to same temperature as coffee
Sponsors
Mount Carmel Health System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Patients will not be told what group they are assigned to, however, complete masking will be difficult to achieve. The patient's treatment assignment is part of the medical record.
Intervention model description
Randomized, parallel-group, controlled clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Patients undergoing small bowel resection. Can be elective, urgent or emergent.
Exclusion criteria
* Patient with atrial fibrillation who is considered a non-coffee drinker (drinks coffee less than 3 days per week over the last 4 weeks) * Patients undergoing colon resection without removal of any portion of small bowel.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to removal of nasogastric tube | From date of hospital admission up to date of hospital discharge (anticipated up to 2 weeks) | Time at placement to Time at removal through study completion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to return of bowel function | From date of hospital admission up to date of hospital discharge (anticipated up to 2 weeks) | Time from end of surgery to Time of first flatus or bowel movement through study completion |
| Length of Stay | From date of hospital admission up to date of hospital discharge (anticipated up to 2 weeks) | Time from end of surgery to Time discharge order written |
Countries
United States
Outcome results
None listed