Early vs Conventional Enteral Nutrition After Uncomplicated Paediatric Open Appendectomy
Early vs Conventional Enteral Nutrition After Uncomplicated Paediatric Open appendectomy-a Randomised Control Trial
Shaikh Zayed Hospital, Lahore
88 participants
Mar 20, 2025
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
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
Oral nutrition started within 6hours after paediatric open appendectomy
Oral nutrition started within 24hours after paediatric open appendectomy
Locations(1)
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NCT07016919