Early vs Postponed Parenteral Nutrition After Emergency Abdominal Surgery (EATERS)
Laparotomy, Bowel Obstruction, Ischemia, Mesenteric
About this trial
This is an interventional prevention trial for Laparotomy focused on measuring Major emergency laparotomy, Supplementary parenteral nutrition
Eligibility Criteria
Inclusion Criteria: Age > 18 Emergency primary midline laparotomy Preoperative NRS-2002 (nutritional risk screening) score < 7 No contraindications for oral or enteral nutrition after surgery Unable to tolerate or take in at least 30% of calculated calorie requirement on postoperative day 2 Capable of providing informed consent at the time of inclusion Exclusion Criteria: Laparotomy without closure of the abdominal aponeurosis Non-midline incision Laparoscopic procedure Limiting mental or psychiatric disorders rendering participation unethical or unrealistic Patients with a very limited expected remaining time of living (< 3 months) Preoperative NRS-2002 = 7 Pregnant or breastfeeding women Refusal to participate Emergency reoperations
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Early supplementary
Late supplementary
Start of study drug on postoperative day 2
Start of study drug on postoperative day 5