A Trial of Preoperative CHO Drinks on Postoperative Walking Capacity in Colorectal Surgery
Bowel; Disease, Carbohydrate Absorption, Difficulty Walking, Colorectal Neoplasms
About this trial
This is an interventional treatment trial for Bowel; Disease, Carbohydrate Absorption focused on measuring oral carbohydrate loading, walking capacity
Eligibility Criteria
Inclusion Criteria:
- patients aged greater than 18 years undergoing elective colorectal surgery at Siriraj Hospital
Exclusion Criteria:
- diabetes mellitus
- any endocrine disorders or metabolic abnormalities
- impaired renal function (GFR <60 ml/min)
- impaired hepatic function (Child-Pugh score class C)
- a history of delayed gastric emptying time
- body mass index >30
- inability to communicate
- severe physical disability.
Sites / Locations
- Siriraj hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Carbohydrate group
Control group
The carbohydrate (CHO) group will be given the carbohydrate drink (12.5% carbohydrates, 50 kcal/100 ml, 240 mOsmol/l, pH 5.0) 800 mL of one of the drinks the night before surgery, between 1900 and 2400 h, and another 400 ml in the morning of the operation day. The last drink will be no later than 3 hours before the scheduled induction of anesthesia. Of note, the last meal on the day before the operation will be no later than 1800 h. Following this meal, no food or drink will be allowed except the carbohydrate drink. The pharmacy department is responsible for preparing the carbohydrate drink.
The control group will be given pure water 800 mL of one of the drinks the night before surgery, between 1900 and 2400 h, and another 400 ml in the morning of the operation day. The last drink will be no later than 3 hours before the scheduled induction of anesthesia. Of note, the last meal on the day before the operation will be no later than 1800 h. Following this meal, no food or drink will be allowed except pure water.