Patient who undergoing elective gastrectomy under ERAS protocol preload carbohydrate, gastrectomy, HOMA-IR, ERAS, single vs. dual dose strategy
Conditions
Interventions
The dual dose arm receive 2 dose of preload carbohydrate before surgery:
The first dose is SI carb 2 sachet + Water 800 ml drink at 8-12 PM the night before surgery
After the drink, the patient recei
Dual dose,Single dose
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: Patient who undergoing Elective gastrectomy under ERAS protocol
Exclusion criteria
Exclusion criteria: 1.Patient who has Diabetes mellitus type 2 which HbA1C exceed or equal to 7.9 2.Patient who is using steroid within 2 weeks before surgery 3.Patient who is unable to receive enteric route feeding e.g. gastric outlet obstruction without feeding route, patients who had high risk of aspiration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| delta change of HOMA-IR at Post op day 1 Blood test | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS score of pain, thirst, hungry, anxiety, nausea, fatigue at Post-op day 1,3,4 Questionaire,Length of stay (day) at Post-op day 1,3,4 Checklist,Time to flatus (day) at Post-op day 1,3,4 Checklist,Time to ambulate at Post-op day 1,3,4 Checklist,Time to first pain killer (Hour) at Post-op day 1,3,4 Checklist | — |
Countries
Thailand
Contacts
Public ContactThammawat Parakonthun
aculty of Medicine Siriraj Hospital, Mahidol University
Outcome results
None listed