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Enhanced Recovery After Surgery(ERAS) for Gastric Cancer and Perioperative Nutritional Status

Not Applicable
Conditions
Nutrition Disorders
Interventions
Procedure: perioperational nutrition surpport
Registration Number
NCT03043183
Lead Sponsor
The First Hospital of Jilin University
Brief Summary

This study is a prospective, single-center, randomized controlled trial. The study protocol was approved by the Ethics Committee at the First Hospital of Jilin University.The perioperation nutritional status will be assessed in gastric cancer patients within ERAS protocols.The ERAS patients were randomly divided into perioperational nutrition support group and conventional pathway group . Inter-group differences were evaluated for nutritional index,clinical recovery index, complications etc.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1400
Inclusion Criteria
  • A preoperative cancer stage of T2, T3, T4, Any N, M0 without digestive obstruction confirmed by whole body CT scan, which could be treated with laparoscopic gastrectomy;
  • age 18-75 years;
  • pathologic confirmation of gastric adenocarcinoma by endoscopic biopsy;
  • normal hematological, renal, hepatic, and cardiac parameters,American Society of Anesthesiology (ASA) score < III without severe systemic disease;
  • no history of treatment with neoadjuvant chemotherapy and/or radiotherapy
  • PG-SGA score ≥2,<9
Exclusion Criteria
  • patients requiring conversion to open gastrectomy
  • excessive bleeding (˃ 500 mL);and patients opting out of the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Preoperational nutrition support groupperioperational nutrition surpportScored patient-generated subjective global assessment(PG-SGA) ≥2,\<9 Oral enteral nutrition support(25 kcal/kg or 1.5 g protein/kg) for 3 days before operation
Primary Outcome Measures
NameTimeMethod
complication30 days after operation

fever;wound infection;post-operation bleeding;ileus;stenosis;leakage

Secondary Outcome Measures
NameTimeMethod
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