Colorectal Anastomosis
Conditions
Keywords
colorectal anastomosis, ERAS protocol, Early feeding
Brief summary
The goal of this clinical trial is to compare the effect of early regular feeding protocol vs conventional clear fluids regimen as per ERAS protocols in patients undergoing colorectal anastomosis. The main questions it aims to answer are: 1. Food tolerance and return of normal bowel Habbits. 2. Rate of Anastomotic leakage 3. Length of hospital stay
Interventions
Regular diet will be initiated within the first 12 hours post-operatively
Clear fluids will be initiated post-operatively and then gradually updated to regular diet as the patient regains his normal motions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with a single, primary large bowel anastomosis
Exclusion criteria
* Patients with large bowel anastomosis and proximal diversion. * Patients with severe systemic illnesses or comorbidities that may impact surgical outcomes or dietary tolerance (e.g., severe heart failure, renal failure, liver failure). * Patients who require post-operative intensive care unit (ICU) admission or mechanical ventilation * Patients with pre-existing conditions that may affect gastrointestinal function or nutrient absorption (e.g., Crohn's disease, malabsorption syndromes).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Duration of post-operative ileus | from the beginning of the post-operative period up to 30 days | Duration till the passage of flatus and stool will be documented |
| Rate of anastomotic leakage | from the beginning of the post-operative period up to 30 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of hospital stay | up to 4 weeks |
Countries
Egypt