Health Condition 1: C168- Malignant neoplasm of overlappingsites of stomach Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Intervention1: Nasojejunal Tube Feeding: A 14 French nasojejunal tube will be inserted intraoperatively into the efferent jejunal limb under direct vision during reconstruction after gastrectomy. The
Sponsors
Basavatarakam Indo American Cancer Hospital and Research Institute
Eligibility
Inclusion criteria
Inclusion criteria: Age 18 years till 75 years ECOG performance status 0 to 2 Histologically confirmed resectable gastric cancer Planned curative gastrectomy with D2 lymphadenectomy Able to provide informed consent Both open and laparoscopic cases
Exclusion criteria
Exclusion criteria: Unresectable or metastatic disease detected preoperatively or intraoperatively. Previous upper gastrointestinal surgery or existing feeding access. Palliative intent surgery Severe comorbid illness precluding major surgery. Patients unwilling to participate or refusing consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare postoperative tolerance and complications related to enteral feeding between feeding jejunostomy (FJ) and nasojejunal (NJ) tube feeding after curative surgery for resectable gastric cancer.Timepoint: within 7 postoperative days | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare time to achieve full enteral feeding in both groupsTimepoint: within 30 days postoperatively;To compare postoperative complications, including Clavien-Dindo grade complicationsTimepoint: 30 days postoperatively;To compare serum albumin levels preoperativelyTimepoint: 2 and 4 weeks postoperatively;To compare body weight changes, measured preoperativelyTimepoint: 1, 2, 3, and 4 weeks;To compare length of hospital stay and ICU stayTimepoint: within 30 days postoperatively | — |
Countries
India
Contacts
Public ContactSyed Nusrath
Basavatarakam Indo American Cancer Hospital and Research Institute
Outcome results
None listed