Unique ID issued by UMIN | UMIN000025822 |
---|---|
Receipt number | R000029695 |
Scientific Title | Efficacy of preoperative elemental diet for patients with severe stenotic colorectal cancer undergoing laparoscopic surgery |
Date of disclosure of the study information | 2017/01/24 |
Last modified on | 2018/07/27 11:00:44 |
Efficacy of preoperative elemental diet for patients with severe stenotic colorectal cancer undergoing laparoscopic surgery
Efficacy of preoperative elemental diet for patients with severe stenotic colorectal cancer undergoing laparoscopic surgery
Efficacy of preoperative elemental diet for patients with severe stenotic colorectal cancer undergoing laparoscopic surgery
Efficacy of preoperative elemental diet for patients with severe stenotic colorectal cancer undergoing laparoscopic surgery
Japan |
Colorectal cancer
Gastrointestinal surgery |
Malignancy
NO
To evaluate the safety and efficacy of Elental administration for patients with severe stenotic colorectal cancer undergoing laparoscopic surgery
Safety,Efficacy
1. perioperative elements (operation time, blood loss, postoperative complications, postoperative hospital stay)
2. nutritional condition and adverse event after Elental administration
Observational
Not applicable |
Not applicable |
Male and Female
Patients who underwent elective laparoscopic colorectal resection for primary colorectal cancers between December 2012 and November 2015 at Hokkaido University Hospital.
Excluded were patients who already had ileus on admission and those who refused Elental intake. Ileus is identified as the need for emergent bowel drainage by stoma, stent, or ileus tube because of bowel obstruction.
200
1st name | |
Middle name | |
Last name | Akinobu Taketomi |
Hokkaido University Graduate School of Medicine
Gastroenterological Surgery I
Kita-15, Nishi-7, Kita-ku, Sapporo, Hokkaido
011-706-5927
taketomi@med.hokudai.ac.jp
1st name | |
Middle name | |
Last name | Shigenori Homma |
Hokkaido University Hospital
Gastroenterological Surgery I
Kita-14, Nishi-5, Kita-ku, Sapporo, Hokkaido
011-706-5927
homma.s@nifty.com
Hokkaido University
No
Other
NO
北海道大学病院(北海道)
2017 | Year | 01 | Month | 24 | Day |
Unpublished
Completed
2016 | Year | 03 | Month | 16 | Day |
2016 | Year | 03 | Month | 16 | Day |
The group E patients (who had severe stenotic colorectal cancers) started fasting upon admission. They were given an elemental diet (Elental) from admission until the day before surgery with no rehydration therapy. One pack of Elental, which contained 300 kilocalories (kcal), was dissolved in 300 mL of water for oral use. Generally, patients drank Elental after adding some flavored powder to avoid growing tired of the taste. The oral dose of Elental was escalated gradually: two packs/day (600 kcal) on day 1 and three packs/day (900 kcal) thereafter. Patients were evaluated twice a week via abdominal radiography and blood tests. When patients developed ileus, peritonitis, dehydration, or an electrolyte abnormality, they were given rehydration therapy and, if necessary, stopped the elemental diet.
Group C patients started fasting after lunch the day before surgery and underwent MBP using polyethylene glycol lavage thereafter. They were not given nutritional support before surgery.
2017 | Year | 01 | Month | 24 | Day |
2018 | Year | 07 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029695