An observational study in Postoperative Ileus, Postoperative Nausea and Postoperative Complications, sponsored by Eric Schwenk. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-06-06.
Sponsored by Eric Schwenk · Observational
Point-of-care gastric ultrasound will be used to measure stomach contents postoperative in patients who underwent colorectal surgery. Stomach volume and status (empty or full) will be compared retrospectively to the standard clinical criteria for diet advancement to determine if stomach volume via ultrasound is associated with successful diet advancement, nausea/vomiting, nasogastric tube replacement, length of stay, and other clinical outcomes. Clinicians performing clinical care will be blinded to the ultrasound exam results.
Patient population: Patients undergoing colorectal surgery will be enrolled prospectively (both cancer and non-cancer patients).
Inclusion Criteria:
Exclusion Criteria:
Patients with previous gastric surgery
Research Design/Protocol: We will perform postoperative point-of-care ultrasound examinations in colorectal surgery patients and will record gastric volumes at set time points, including preoperative and the morning of postoperative day 1. The surgical team, who will be blinded to the results of the ultrasound exam, will make decisions to advance diet, remove nasogastric tube, and begin oral medications based on standard clinical criteria. At the completion of the study we will determine if there is any association between gastric volume on ultrasound and patient complications, such as nausea/vomiting, replacement of nasogastric tube, aspiration of gastric contents, inability to tolerate solid diet, prolonged admission/length of stay, and other clinical outcomes.
Outcomes: Our exploratory outcome measures will be tolerance of diet, replacement of NG tube, nausea/vomiting, time to flatus, aspiration pneumonia/pneumonitis, and length of stay.
Adult patients scheduled for colorectal surgery
Exclusion Criteria:
Patients with previous gastric surgery
This patient population will include postoperative patients who received a gastrointestinal surgery and are being assessed with the bedside gastric ultrasound.
Diagnostic Test: Bedside gastric ultrasound
Bedside ultrasound exam of the stomach
Tolerance of diet advancement
Includes replacement of NGT, downgrading diet
Time frame: 0 - 14 days
Emesis
Time frame: 0 - 14 days
Time to first flatus
Time frame: 0 - 14 days
Aspiration pneumonitis
Clinical or radiographic evidence of aspiration
Time frame: 0 - 14 days
Time to first bowel movement
Time frame: 0 - 14 days
Nausea
Time frame: 0 - 14 days
Plan to share: No
This study is completed, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.
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