Interventions to Decrease the Impact of Post-OPerative Ileus After Liver Transplant or Resection Surgery
| Status: | Completed |
|---|---|
| Conditions: | Gastrointestinal |
| Therapuetic Areas: | Gastroenterology |
| Healthy: | No |
| Age Range: | 19 - Any |
| Updated: | 10/28/2017 |
| Start Date: | September 2010 |
| End Date: | December 2012 |
Interventions to Decrease the Impact of Post-Operative Ileus After Liver Transplant or Resection Surgery
This is a randomized controlled trial to assess ways to address post-operative ileus (POI) in
adult patients on the liver transplant service undergoing either liver transplant or
resection surgery. Patient who speak and understand English will be randomized into one of
three groups including a.)control group receiving standard therapy for post-operative ileus,
b.)group receiving standard therapy and acupressure bracelets, and c.)group receiving
standard therapy and sugar free gum four times daily.
adult patients on the liver transplant service undergoing either liver transplant or
resection surgery. Patient who speak and understand English will be randomized into one of
three groups including a.)control group receiving standard therapy for post-operative ileus,
b.)group receiving standard therapy and acupressure bracelets, and c.)group receiving
standard therapy and sugar free gum four times daily.
Any patient undergoing liver transplant or resection surgery will be asked to participate in
the study and assigned to a control or investigational group. Pertinent information will be
collected from the medical record including gender, age in years, diagnosis, type of surgery,
length of stay, medications used for pain or nausea, and first bowel movement. The subjects
will also be asked to keep a journal of their bowel habits, signs and symptoms of
gastrointestinal distress/post-operative ileus, use of medications, first bowel movement,
satisfaction with bowel management and any additional comments.
Aims of the study are to determine the effectiveness of the three arms of this trial for the
resolution of POI as noted by first post-operative bowel movement; to determine if there is a
difference in the length of stay based on the interventions; and to determine if there is a
difference in patient satisfaction based on the intervention.
the study and assigned to a control or investigational group. Pertinent information will be
collected from the medical record including gender, age in years, diagnosis, type of surgery,
length of stay, medications used for pain or nausea, and first bowel movement. The subjects
will also be asked to keep a journal of their bowel habits, signs and symptoms of
gastrointestinal distress/post-operative ileus, use of medications, first bowel movement,
satisfaction with bowel management and any additional comments.
Aims of the study are to determine the effectiveness of the three arms of this trial for the
resolution of POI as noted by first post-operative bowel movement; to determine if there is a
difference in the length of stay based on the interventions; and to determine if there is a
difference in patient satisfaction based on the intervention.
Inclusion Criteria:
- Patients 19 years or older who speak and read English and have had a liver transplant
or liver resection surgery
Exclusion Criteria:
- Patients less than 19 years of age having liver transplant or liver resection surgery
- Non-English speaking
- Pregnancy
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Nebraska Medical Center Formed in 1997 by combining the operations of University Hospital, Bishop Clarkson...
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