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CompletedNCT01028807Updated Dec 10, 2009

Early Feeding vs 5-day Fasting After Distal Elective Bowel Anastomoses in Children. A Randomized Controlled Trial

An interventional study of Early feeding and 5 day fasting in Early Feeding and Bowel Anastomosis, sponsored by Hospital Infantil de Mexico Federico Gomez. Completed at 1 site in Mexico. Open to participants aged 1 Month to 18 Years. Per ClinicalTrials.gov, last updated 2009-12-10.

Sponsored by Hospital Infantil de Mexico Federico Gomez · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
1 Month to 18 Years
Sex
All
01

Study summary

Purpose:

To determine the safety and efficacy of early enteral feeding after distal (ileum-colon) elective bowel anastomoses in children.

Methods:

Controlled randomized trial including all pediatric patients with distal elective bowel anastomosis, excluding non-elective and high risk patients. VARIABLES:

Demographic characteristics, operative time, anastomosis placement,

Follow up: Tolerability variables: beginning peristalsis, beginning bowel movement, time to full diet intake, post-operative stay. Safety variables: mild and persistent vomiting, persistent abdominal distention, wound infection or dehiscence as well as anastomotic leak or dehiscence, reoperation and death. At the end of surgery were randomized to:

  1. Experimental group(EG): Early feeding group, after a 24 hours fasting period, with good abdominal conditions (once the post operative ileus had solved), oral fluids and diet was started.
  2. Control group (CG): obligatory 5-day fasting. Once the regular diet was tolerated, the patients were discharged. Statistics: Descriptive statistics for global description. Student's t test for quantitative variables and Chi square test for qualitative variables, a p-value less than 0.05 was considered statistically significant.
02

Conditions studied

  • Early Feeding
  • Bowel Anastomosis

Keywords

  • Early feeding
  • Bowel anastomosis
  • Children
03

In context

Lead sponsor

Hospital Infantil de Mexico Federico Gomez is the lead sponsor of 20 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Month to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All patients between the ages of 1 month to 18 years old that required elective laparotomy with a distal elective bowel anastomosis (ileum and colon).

Exclusion criteria

Exclusion Criteria:

  • Proximal and non elective anastomosis
  • High risk groups:
  • Newborns
  • Upper gastrointestinal tract anastomosis (esophagus, gastric, duodenal or jejunal)
  • Bilious-digestive or rectal anastomosis
  • Immunosuppressed patients
  • Gastrostomy or any pre anastomotic derivation
  • Multiple anastomoses
  • Chronic intestinal obstruction
  • Patients who did not complete the minimum POP follow up of one month.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    1. Experimental group: Early feeding:

    After 24 hours fasting period, with good abdominal conditions (once flatus passage of bowel movements without abdominal distention, vomiting, nausea or ileus) the oral fluids during 24 hours and then advanced to a regular diet as tolerated.

    Other: Early feeding

  • Active comparator
    Control group : Obligatory 5 day fasting

    Obligatory 5-day fasting because it was the therapeutic gold standard at our hospital and our country. Both groups without NGT and antiemetic drug. 5-day antibiotic regimen, ranitidine and appropriate analgesics were used. Once the regular diet was tolerated, the patients were discharged and followed up at clinic 30 days afterwards.

    Other: 5 day fasting

Interventions

  • OtherEarly feeding

    after 24 hours fasting period, with good abdominal conditions (once flatus passage of bowel movements without abdominal distention, vomiting, nausea or ileus) the oral fluids during 24 hours and then advanced to a regular diet as tolerated.

  • Other5 day fasting

    Obligatory 5-day fasting because it was the therapeutic gold standard at our hospital and our country. Both groups without NGT and antiemetic drug. 5-day antibiotic regimen, ranitidine and appropriate analgesics were used. Once the regular diet was tolerated, the patients were discharged and followed up at clinic 30 days afterwards.

06

What researchers measure

Primary outcomes

  1. Need to insert a NGT, beginning peristalsis, beginning bowel movement, time to full diet intake, post-operative stay.

    Time frame: First 5 postoperative days

Secondary outcomes

  1. Mild and persistent vomiting, persistent abdominal distention, wound infection or dehiscence as well as anastomotic leak or dehiscence, reoperation and death

    Time frame: First 30 postoperative days

07

Study locations

1 site
  • Hospital Infantil de Mexico
    Mexico City, Mexico City 06720, Mexico
08

References and documents

Publications

  • Gokpinar I, Gurleyik E, Pehlivan M, Ozcan O, Ozaydin I, Aslaner A, Demiraran Y, Gultepe M. [Early enteral and glutamine enriched enteral feeding ameliorates healing of colonic anastomosis: experimental study]. Ulus Travma Acil Cerrahi Derg. 2006 Jan;12(1):17-21. Turkish. PubMed 16456746 ↗
  • Reissman P, Teoh TA, Cohen SM, Weiss EG, Nogueras JJ, Wexner SD. Is early oral feeding safe after elective colorectal surgery? A prospective randomized trial. Ann Surg. 1995 Jul;222(1):73-7. doi: 10.1097/00000658-199507000-00012. PubMed 7618972 ↗
  • Seenu V, Goel AK. Early oral feeding after elective colorectal surgery: is it safe. Trop Gastroenterol. 1995 Oct-Dec;16(4):72-3. PubMed 8854962 ↗
  • Senkal M, Mumme A, Eickhoff U, Geier B, Spath G, Wulfert D, Joosten U, Frei A, Kemen M. Early postoperative enteral immunonutrition: clinical outcome and cost-comparison analysis in surgical patients. Crit Care Med. 1997 Sep;25(9):1489-96. doi: 10.1097/00003246-199709000-00015. PubMed 9295822 ↗
  • Bisgaard T, Kehlet H. Early oral feeding after elective abdominal surgery--what are the issues? Nutrition. 2002 Nov-Dec;18(11-12):944-8. doi: 10.1016/s0899-9007(02)00990-5. PubMed 12431715 ↗
  • Feo CV, Romanini B, Sortini D, Ragazzi R, Zamboni P, Pansini GC, Liboni A. Early oral feeding after colorectal resection: a randomized controlled study. ANZ J Surg. 2004 May;74(5):298-301. doi: 10.1111/j.1445-1433.2004.02985.x. PubMed 15144242 ↗
  • Lucha PA Jr, Butler R, Plichta J, Francis M. The economic impact of early enteral feeding in gastrointestinal surgery: a prospective survey of 51 consecutive patients. Am Surg. 2005 Mar;71(3):187-90. PubMed 15869128 ↗
  • Sangkhathat S, Patrapinyokul S, Tadyathikom K. Early enteral feeding after closure of colostomy in pediatric patients. J Pediatr Surg. 2003 Oct;38(10):1516-9. doi: 10.1016/s0022-3468(03)00506-2. PubMed 14577078 ↗
  • Pearl ML, Valea FA, Fischer M, Mahler L, Chalas E. A randomized controlled trial of early postoperative feeding in gynecologic oncology patients undergoing intra-abdominal surgery. Obstet Gynecol. 1998 Jul;92(1):94-7. doi: 10.1016/s0029-7844(98)00114-8. PubMed 9649101 ↗
  • Stewart BT, Woods RJ, Collopy BT, Fink RJ, Mackay JR, Keck JO. Early feeding after elective open colorectal resections: a prospective randomized trial. Aust N Z J Surg. 1998 Feb;68(2):125-8. doi: 10.1111/j.1445-2197.1998.tb04721.x. PubMed 9494004 ↗
  • Han-Geurts IJ, Hop WC, Kok NF, Lim A, Brouwer KJ, Jeekel J. Randomized clinical trial of the impact of early enteral feeding on postoperative ileus and recovery. Br J Surg. 2007 May;94(5):555-61. doi: 10.1002/bjs.5753. PubMed 17443854 ↗
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Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2003, a primary completion of May 2004 and a completion of Nov 2004. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 8, 2009
First posted
Dec 9, 2009
Start
Jun 2003
Primary completionActual
May 2004
CompletionActual
Nov 2004
Last update
Dec 10, 2009
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 10, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01028807
Lead sponsor
Hospital Infantil de Mexico Federico Gomez
First posted
Dec 9, 2009
Start date
Jun 2003
Primary completion
May 2004
Completion
Nov 2004
Last update
Dec 10, 2009

Study contacts

ROBERTO DAVILA-PEREZ, SURGEON
principal investigator · HOSPITAL INFANTIL DE MEXICO
EDUARDO BRACHO-BLANCHET, SURGEON
study chair · HOSPITAL INFANTIL DE MEXICO
JOSE MANUEL TOVILLA-MERCADO, SURGEON
study chair · HOSPITAL INFANTIL DE MEXICO
PABLO LEZAMA-DEL-VALLE, SURGEON
study chair · HOSPITAL INFANTIL DE MEXICO
GUSTAVO VARELA-FASCINETTO, SURGEON
study chair · HOSPITAL INFANTIL DE MEXICO
JAIME NIETO-ZERMEÑO, SURGEON
study chair · HOSPITAL INFANTIL DE MEXICO

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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