Abdominal Massage for Gastric Residual Volume in Surgical Patients

NCT07018414 | Completed

• 1 other identifier: ABMGRVSICU
• Study Type: interventional
• Target: 84
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial aimed to evaluate the effect of abdominal massage on gastric residual volume (GRV) and abdominal distension in surgical intensive care patients receiving enteral nutrition. The intervention group received 20-minute abdominal massage sessions twice daily for 3 consecutive days. Outcomes included changes in GRV, abdominal circumference, feeding volume, and gastrointestinal tolerance parameters.

Conditions

Gastric Residual Volume; Abdominal Distension; Enteral Nutrition; Massage Therapy

Keywords

Enteral Nutrition; Gastric Emptying; Abdominal Distension; Intensive Care Units, Surgical; Postoperative Care; Gastrointestinal Motility Disorders; Critical Illness; Massage Therapy

Outcome Measures

Primary Outcomes (2)

• Amount of gastric residual volume (mL)

  Starting from the first day of enteral nutrition, gastric residual volume (mL) will be recorded at regular intervals every day for 3 days. The amount of GRV changing from the first day to the 3rd day will be measured and analysed.

  Day 3

• Change in abdominal circumference

  Abdominal circumference will be measured on the first day of enteral feeding and abdominal circumference will be measured every day at the same time for 3 days. The change in abdominal circumference (cm) from baseline to Day 3 will be recorded.

  Day 3

Secondary Outcomes (3)

• Amount of enteral feeding (mL/day)

  Day 3

• Assessment of abdominal distension

  Day 3

• Interruption of enteral nutrition

  Day 3

Study Arms (2)

Abdominal Massage Group

EXPERIMENTAL

Patients in this group received abdominal massage for 20 minutes, twice daily, for three consecutive days after the initiation of enteral nutrition.

Behavioral: Abdominal Massage

Control Group

NO INTERVENTION

Patients in this group received standard postoperative care without abdominal massage.

Interventions

Abdominal Massage BEHAVIORAL

Non-pharmacological intervention involving manual massage of the abdomen to support gastric motility and reduce gastric residual volume and abdominal distension in enterally fed surgical ICU patients.

Abdominal Massage Group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥ 18 years
• Receiving enteral nutrition via nasogastric tube
• No prior abdominal surgery
• No invasive devices (e.g., drains, catheters) in the abdominal area

You may not qualify if:

• Receiving enteral nutrition via PEG or PEJ
• Receiving only parenteral nutrition
• History of abdominal surgery

Sponsors & Collaborators

• Marmara University: lead

Study Sites (1)

Seyrantepe Hamidiye Etfal Training and Research Hospital, Surgical Intensive Care Units

Istanbul, İ̇stanbul, 34230, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Critical Illness

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: This study was conducted as an open-label trial, with no masking of participants, healthcare providers, or outcome assessors. Due to the nature of the intervention (abdominal massage), blinding was not feasible. However, data collection and statistical analyses were performed by researchers not involved in delivering the intervention to minimize potential bias.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This study utilized a parallel assignment model, in which participants were randomly assigned to either the intervention group (receiving abdominal massage) or the control group (receiving standard care) in a 1:1 ratio. Each participant received only one type of intervention throughout the study period. The intervention was applied twice daily for 20 minutes over three consecutive days.

Study Record Dates

• First Submitted: May 23, 2025
• First Posted: June 12, 2025
• Study Start: April 5, 2024
• Primary Completion: April 5, 2025
• Study Completion: April 5, 2025
• Last Updated: June 12, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)