RecruitingNot ApplicableNCT07016919

Early vs Conventional Enteral Nutrition After Uncomplicated Paediatric Open Appendectomy

Early vs Conventional Enteral Nutrition After Uncomplicated Paediatric Open appendectomy-a Randomised Control Trial


Sponsor

Shaikh Zayed Hospital, Lahore

Enrollment

88 participants

Start Date

Mar 20, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This clinical trial is conducted to see if after surgery of appendix(open appendectomy) in children giving oral nutrition within 6hours of surgery instead of older method of starting oral nutrition after 24hours of surgery improves the outcome or not which is the length of hospital stay(from the day of surgery until discharge) and to look for complications associated with oral nutrition (nausea, vomiting, abdominal distension, diarrhea) as well as return of bowel activity after surgery that is passage of flatus(gas) and stool.Participants after taking informed consent are enrolled in two groups,group A in which oral nutrition is started in 6hours and group B in which oral nutrition is started after 24hours of surgery and then see for the outcome during hospital stay until 1week after discharge on follow up.


Eligibility

Min Age: 6 YearsMax Age: 14 Years

Inclusion Criteria6

  • Age 6-14years
  • Both male\& female
  • Uncomplicated appendicitis(no perforation/gangrene)
  • patients who underwent open appendectomy
  • ASA grade 1 only
  • willing to participate and follow up

Exclusion Criteria9

  • Any underlying comorbidities or organ dysfunction for example renal,GI, respiratory, congenital heart disease
  • severe protein caloric malnourishment or obesity BMI\>25
  • any past surgical history related to gut
  • any associated malignancy
  • prolonged surgery(anesthesia time\>3hours)
  • complicated appendicitis (gangrene, perforation,intra-abdominal abscess)
  • post-op shock
  • ongoing infection
  • GI dysfunction such as gastroesophageal reflux disease/obstruction.

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Interventions

OTHERearly enteral nutrition

Oral nutrition started within 6hours after paediatric open appendectomy

OTHERConventional enteral nutrition

Oral nutrition started within 24hours after paediatric open appendectomy


Locations(1)

Shaikh Zayed federal postgraduate medical institute Lahore

Lahore, Punjab Province, Pakistan

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NCT07016919