Nutrition, Rectal Surgery, Ileus, Infection, Length of hospital stay, Amino acids, Glucose, Immune function Voeding, Rectum chirurgie, Ileus, Infectie, Duur van opname, Aminozuren, Glucose, Immuunsysteem
Conditions
Interventions
1- Enteral nutrition starting 8 hours postoperatively
2- Parenteral nutrition starting 8 hours postoperatively
Sponsors
Nutritia
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who will undergo elective major rectal surgery such as low anterior resection or abdominal perineal resection with or without intra-operative radiotherapy (IORT) for primary or recurrent disease. 2. Fit for elective surgery as defined by ASA score 1 to 3. (Whereby ASA 1 corresponds to a healthy patient. ASA 2 corresponds to a patient with mild, controlled, functionally non-limiting systemic disease and ASA 3 corresponds to a patient with severe or poorly controlled systemic disease that is functionally limiting). 3. Having obtained his/her informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients undergoing an emergency rectal operation. 2. Patients undergoing synchronous partial liver or pulmonary resection. 3. Esophageal varices or known with gastric or esophageal bleeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Postoperative Ileus | — |
Secondary
| Measure | Time frame |
|---|---|
| - Nutritional status - Complications (infection, diarrhea, vomiting, high gastric residuals) - Length of hospital stay - Amino acids profile - Glucose metabolism - Routine blood measurements - Acute Phase Response | — |
Contacts
Public ContactP.G. Boelens
Catharina-ziekenhuis
Outcome results
None listed