Effect of Acupuncture on Postoperative Ileus After Gastric Surgery (EAPIG)

Daegu Catholic University Medical Center10 enrolled

Overview

Postoperative ileus (POI) is a common problem after major abdominal surgery. Acupuncture is being accepted in the West as a treatment option for managing POI and various functional gastrointestinal disorders. Therefore, we conducted a prospective randomized pilot study to evaluate the effect of electro-acupuncture on POI and other surgical outcomes in patients who underwent gastric surgery for a later large-scale study.

Before surgery, patients were randomized (using simple randomization) to either acupuncture (A) group or non-acupuncture (NA) group. In both groups, sitz markers were inserted in duodenum or jejunum during surgery for detection of postoperative remnant sitz markers by Xray. In the A group, acupuncture treatment was given once daily for up to 5 consecutive days starting on postoperative day 1. The acupuncture points which were used were based on traditional Korean medicine. No acupuncture treatment was performed in the NA group.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Ileus

Interventions

acupunctureDEVICE

Acupuncture treatment after gastric cancer surgery during 5 postoperative days

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients undergoing elective surgery for gastric cancers * Patients with American Society of Anesthesiologists grades I-III * Patients who provided written informed consent Exclusion Criteria: * Patients who developed intraoperative problems or complications * Patients with contraindications to had electrical stimulation devices (pacemaker or implantable defibrillator) * Patients who were allergic to acupuncture needle

Outcomes

Primary Outcomes

Remnant sitz markers in small intestine at postoperative day 1

Numbers of of remnant sitz markers in the small intestine that did not pass through ileo-cecal valve, measured by X-ray on postoperative day 1.

Time frame: measured in postoperative day 1

Remnant sitz markers in small intestine at postoperative day 3

Numbers of of remnant sitz markers in the small intestine that did not pass through ileo-cecal valve, measured by X-ray on postoperative day 3.

Time frame: measured in postoperative day 3

Remnant sitz markers in small intestine at postoperative day 5

Numbers of of remnant sitz markers in the small intestine that did not pass through ileo-cecal valve, measured by X-ray on postoperative day 5.

Time frame: measured in postoperative day 5

Remnant sitz markers in small intestine at postoperative day 7

Numbers of of remnant sitz markers in the small intestine that did not pass through ileo-cecal valve, measured by X-ray on postoperative day 7.

Time frame: measured in postoperative day 7

Secondary Outcomes

Time to first flatus

Time frame: up to 5 dyas

start of water intake

Time frame: up to 7days

start of soft diet

Time frame: up to 7days

hospital stay

Time frame: up to 2 weeks

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.