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Early Enteral Feeding After Pylorus Preserving Pancreatoduodenectomy

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ClinicalTrials.gov Identifier: NCT00809081
Recruitment Status : Unknown
Verified December 2008 by Yonsei University.
Recruitment status was:  Recruiting
First Posted : December 16, 2008
Last Update Posted : December 16, 2008
Sponsor:
Information provided by:
Yonsei University

Brief Summary:

Pancreaticoduodenectomy is associated with a high incidence of postoperative complications. These postoperative complications could delay postoperative resumption of adequate oral intake. Clinical study on postoperative feeding after pancreaticoduodenectomy is very limited. Method of Nutritional support (Enteral feeding or total parenteral support)after pancreaticoduodenectomy is controversial.

  1. To evaluate whether early enteral nutrition may be a suitable alternative to total parenteral nutrition
  2. To evaluate whether enteral feeding improve nutritional status after pancreaticoduodenectomy

Condition or disease Intervention/treatment Phase
Pancreas Cancer Bile Duct Cancer Ampulla of Vater Cancer Procedure: Enteral Feeding and Total Parental Support Phase 3

Detailed Description:

Pancreaticoduodenectomy is associated with a high incidence of postoperative complications. These postoperative complications could delay postoperative resumption of adequate oral intake. The use of TPN significantly increases postoperative complications, especially those associate with infections. However, method of Nutritional support (Enteral feeding or total parenteral support)after pancreaticoduodenectomy is controversial.

  1. To evaluate whether early enteral nutrition may be decreased the postoperative complications
  2. To evaluate whether enteral feeding improve nutritional status after pancreaticoduodenectomy
  3. To determine the optimal method for postoperative nutritional support

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 38 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Prospective, Randomized Trial of Early Enteral Feeding After Pylorus Preserving Pancreatoduodenectomy
Study Start Date : July 2007
Estimated Primary Completion Date : June 2009
Estimated Study Completion Date : January 2010

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
1
1. Enteral Feeding
Procedure: Enteral Feeding and Total Parental Support

Enteral Feeding : 20ml/hr on POD1

  • Velocity is progressively increased by 20ml/d until full nutritional goal (25Kcal/Kg)
Other Names:
  • Total Parental support: 1000 kcal /d on POD 1
  • : Velocity is progressively increased by 20ml/d
  • until full nutritional goal (25Kcal/Kg)

No Intervention: 2
Total Parental support
Procedure: Enteral Feeding and Total Parental Support

Enteral Feeding : 20ml/hr on POD1

  • Velocity is progressively increased by 20ml/d until full nutritional goal (25Kcal/Kg)
Other Names:
  • Total Parental support: 1000 kcal /d on POD 1
  • : Velocity is progressively increased by 20ml/d
  • until full nutritional goal (25Kcal/Kg)




Primary Outcome Measures :
  1. To evaluate the impact of early postoperative enteral feeding [ Time Frame: Postoperative 21 days ]

Secondary Outcome Measures :
  1. To evaluate the nutritional status [ Time Frame: Postoperative 6 months ]


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Ages Eligible for Study:   18 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Periampullar carcinoma
  • Pancreaticoduonectomy
  • KARNOFSKY PERFORMANCE SCALE > 70
  • No history of Major operation

Exclusion Criteria:

  • Creatinine level>3mg/L
  • Ascitis/portal hypertension
  • New York Heart Association class>3
  • COPD
  • Preoperative Radiotheraly/chemotherapy
  • Unresectable primary cancer
  • Palliative surgery

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00809081


Locations
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Korea, Republic of
Yongdong Severance Hospital Recruiting
Seoul, Korea, Republic of
Contact: Dong Sup Yoon, MD, PhD    +82-2-2019-2444    yds6110@yuhs.ac   
Contact: Joon Seong Park, MD    +82-2-2019-3375    jspark330@yuhs.ac   
Sponsors and Collaborators
Yonsei University
Investigators
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Principal Investigator: Dong Sup Yoon, MD,PhD Yonsei University

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Responsible Party: Dong Sup Yoon/Professor, Yonsei University
ClinicalTrials.gov Identifier: NCT00809081     History of Changes
Other Study ID Numbers: EN Vs PN
First Posted: December 16, 2008    Key Record Dates
Last Update Posted: December 16, 2008
Last Verified: December 2008
Keywords provided by Yonsei University:
periampullar carcinoma
Pancreaticoduodenectomy
Enteral feeding
Total Parenteral Support
Additional relevant MeSH terms:
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Bile Duct Neoplasms
Cholangiocarcinoma
Pancreatic Neoplasms
Biliary Tract Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Bile Duct Diseases
Biliary Tract Diseases
Digestive System Diseases
Adenocarcinoma
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Endocrine Gland Neoplasms
Pancreatic Diseases
Endocrine System Diseases