An evaluation of the Clear Fluids Diet: A comparison between patients commencing on Clear Fluids or Free Fluids and the effect this has on post-operative outcomes after elective large bowel surgery.

ABSTRACT: Interventions: Patients commence on sips of water ad libitum day 1 post-operatively. Once the treating surgeon deems the patient appropriate to commence fluids, they will start on Free Fluids ad libitum, (usually for 1-4 days), then Light Diet ad libitum (1-2 days) and then to Full Diet ad libitum (until discharged) Free Fluids are defined as low fibre foods which are fluid like in nature at room temperature including, all Clear Fluids, milk and soy based drinks and nutrition supplements, strained porridge, pureed soup, ice-cream, plain yoghurt and custard Primary outcome(s): Number of days of hospital admission post surgery collected from medical records.[At discharge from Frankston Hospital];Post-operative complications including ileus, anastomotic breakdown and wound breakdown as documented in the medical history by the medical team. Pneumonia (from chest xray showing positive infiltrates and positive sputum culture), urinary tract infection (positive urine cultures), sepsis (temperature greater than 38 degrees, heart rate above 90 bpm, respiratory rate greater that 20 rpm and white cell count above 12 x10^9/L or less than 4 x10^9/L or more than 10 % band forms in the absence of chemotherapy induced neutropenia or leukopenia) and mortality from medical history.[Incidence of complications will be collected during hospital admission];Proportion of nutritional requirements met using food and fluid chart analysis. Nutritional requirements will be calculated using the Schofield Equation.[Until patient is tolerating Light Diet for 24 hours] Study Design: Purpose: Treatment; Allocation: Randomised controlled trial

DISEASE(S): Oral And Gastrointestinal-other Diseases Of The Mouth, Teeth, Oesophagus, Digestive System Including Liver And Colon,Surgery-other Surgery,Elective Colorectal Surgery For Inflammatory Bowel Disease, Diverticular Disease Or Cancer

PROVIDER: 2455275 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR