Early Enteral Nutrition in Severe Acute Pancreatitis
1 other identifier
interventional
60
1 country
1
Brief Summary
to compare different time points for enteral nutrition in SAP patients
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2012
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2012
CompletedFirst Submitted
Initial submission to the registry
November 5, 2013
CompletedFirst Posted
Study publicly available on registry
December 4, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2017
CompletedDecember 4, 2013
November 1, 2013
4.1 years
November 5, 2013
November 26, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
mortality
the rate of patients died
28days
Secondary Outcomes (2)
operation rate
2 months
fulfilling enteral nutrition target(≥25Kcal/kg/day)
7 days
Other Outcomes (1)
inta-abdominal infection
2 months
Study Arms (2)
early enteral nutrition
ACTIVE COMPARATORNaso-gastro-jejunal tube will be set up by X-ray within 24 hours of admission. * The distal end of the feeding tube would be placed at the remote end of Treitz ligament, and verified by X-ray. * After catharsis, Standard enteral nutrition liquid regimen (Peptisorb Liquid)will be used step by step. * Patients are targeted to receive calories for 25 kcal/kg/day.
modified early enteral nutrition
ACTIVE COMPARATORNaso-gastro-jejunal tube will be set up by X-ray within 24 hours of admission. * The distal end of the feeding tube would be placed at the remote end of Treitz ligament, and verified by X-ray. * After catharsis, Only Normal Saline were given through Naso-gastro-Jejunal tube until 2 or more followed requirements were met mean arterial pressure≥65mmHg; oxygenation index≥ 300;APCHEII≤8; intra-abdominal pressure \<20mmHg).Then Standard enteral nutrition liquid regimen (Peptisorb Liquid) will be used step by step. * Patients are targeted to receive calories for 25 kcal/kg/day.
Interventions
Naso-gastro-jejunal tube will be set up by X-ray within 24 hours of admission. The distal end of the feeding tube would be placed at the remote end of Treitz ligament, and verified by X-ray. • After catharsis, Standard enteral nutrition liquid regimen will be used step by step. Patients are targeted to receive calories for 25 kcal/kg/day. nutrition form: short peptide ,1 kcal/ml,target 200k kcal/day
Naso-gastro-jejunal tube will be set up by X-ray within 24 hours of admission. * The distal end of the feeding tube would be placed at the remote end of Treitz ligament, and verified by X-ray. * After catharsis, Only Normal Saline were given through nasojejunal tube until 2 or more followed requirements were meted (mean arterial pressure≥65mmHg; oxygenation index≥ 300;APCHEII≤8; intra-abdominal pressure \<20mmHg).Then Standard enteral nutrition liquid regimen (Peptisorb Liquid) will be used step by step. * Patients are targeted to receive calories for 25 kcal/kg/day.
Eligibility Criteria
You may qualify if:
- Diagnosis of pancreatitis: Typical pain increase in serum lipase or amylase
- Onset of abdominal pain within \<=72h before admission
- moderate severe or severe Acute Pancreatitis according to Atlanta criteria revisited in 2012 ffff
You may not qualify if:
- \. Pregnancy 2.tumor 3. acute onset of chronic pancreatitis
- chronic disease of any organ (heart lung gastrointestinal renal etc.) 5. Pre-existing disease with life expectancy \< 3 months 7.receive parenteral nutrition or enteral nutrition before admitting
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ruijin Hospitallead
- RenJi Hospitalcollaborator
Study Sites (1)
Ruijin
Shanghai, Shanghai Municipality, China
Related Publications (1)
Ong JP, Fock KM. Nutritional support in acute pancreatitis. J Dig Dis. 2012 Sep;13(9):445-52. doi: 10.1111/j.1751-2980.2012.00611.x.
PMID: 22908969RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Qiang en Mao, phd
Emergency intensive care unit of Ruijin Hospital
- PRINCIPAL INVESTIGATOR
Wen xu, Master
doctor
Central Study Contacts
qiang En mao
CONTACT
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prefessor
Study Record Dates
First Submitted
November 5, 2013
First Posted
December 4, 2013
Study Start
August 1, 2012
Primary Completion
September 1, 2016
Study Completion
August 1, 2017
Last Updated
December 4, 2013
Record last verified: 2013-11