Perioperative Celecoxib to promote bowel movement and to reduce post-operative pain after elective colonic resection.
Post-operative ileus is a common surgical complication occurring in with up to 20% of patients, with a significant clinical and economical effect. Many preventative measures have been tested to promote gastrointestinal motility following intestinal surgery have been suggested. The medical intervention in the proposed study includes administration of a selective COX-2 inhibitor, specifically Celecoxib, in the peri-operative period following an elective colon resection. Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) with anti-inflammatory, analgesic, and antipyretic therapeutic effects. The drug is approved for use in by the ministry of health in Israel and in the United states. The study aims to assess the use of this widely used medication for evaluation of the clinical effect on post-operative bowel transit, as well as the drugs' effect on post-operative pain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
100
First flatus/bowel movement (questionnaire)
Reduction of time for first flatus/bowel movement from 48 hours to 72 hours in average following surgery.
Time frame: 48 to 72 hours after surgery
Reduction of post operative ileus (questionnaire)
Reduction of post-operative ileus rate in patients following colorectal surgery, treated with Celecoxib when compared with patients treated with placebo.
Time frame: First week after surgery
Post operative pain reduction (VAS score)
Post-operative pain reduction quality in patients treated with Celecoxib when compared with patients treated with placebo following surgery.
Time frame: First week after surgery
Reduction of opoids consumption (registration of all medications)
Reduction the amount of opioids consumed in patients treated with Celecoxib when compared with patients treated with placebo following surgery.
Time frame: First month after surgery
Post operative complication rate (patients follow up)
Post-operative complication rate, more specifically the rate of anastomotic leakage in patients treated with Celecoxib compared with patients treated with placebo.
Time frame: First month after surgery
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