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Perioperative Dynamics of Energy Expenditure in Oesophagectomy Patients

Recruitingn/aAges 18 Years - anyAllUniversity Hospital, Rouen
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In plain words

What the trial is, and whether it could suit you

Carcinological oesophageal resection surgery is one of the so-called major digestive surgeries, i.e. involving a high perioperative risk (morbidity and mortality) in patients who are malnourished or at high risk of malnutrition. Nutritional therapy for these patients is an important part of overall perioperative management. Lewis-Santy oesophageal surgery requires a thoracic approach (thoracotomy or thoracoscopy) and an abdominal approach (laparotomy or laparoscopy). Resumption of oral feeding is contraindicated in the immediate postoperative period. The use of a feeding jejunostomy is not systematic. The methods used to manage artificial nutritional support vary between centres, but the foreseeable duration of fasting and/or intake of less than 50% of nutritional requirements is always greater than 5 days. At present, total energy requirements are calculated using formulae that take

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📋 Eligibility rules (as published)
Inclusion Criteria: * Any adult patient admitted for scheduled digestive surgery for Lewis Santy oesophagectomy whose care pathway includes a stay in an intensive care unit or continuing care unit. * Member or beneficiary of a social protection scheme * Patient who has read and understood the information letter and does not object to taking part in the study. Exclusion Criteria: * Contraindication to indirect calorimetry (oxygen therapy, etc.) * Refusal to take part in the study * No social security affiliation * Patient is a minor * Patient under legal protection (guardianship) * Pregnant women * Oesophagectomy with cervical approach (3-way oesophagectomy) * Participation in an interventional research protocol likely to have an effect on perioperative nutritional status or surgical technique
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What it tests

  • Not listed
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Where

4 sites
Service d'Anesthésie-Réanimation
Amiens, France
Department of Anaesthesia and Intensive Care
Brest, France
Surgical Intensive Care Department
Rouen, France
Department of Anaesthesia, Intensive Care and Perioperative Medicine
Vandœuvre-lès-Nancy, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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