gastric carcinoma
Conditions
Interventions
A:1. preoperative education was administered, no bowel preparation was performed, and patients were allowed to drink water until 2 hours before surgery
2. Nasogastric tubes were used only when necessary in FTS group
3. Tracheal intubation under general anesthesia combined with epidural block anesthesia
4. received a restricted fluid regimen and vasopressor drugs
(Group A to be continued):5. oral intake of clear water was instituted as soon as the effects of the anesthesia disappeared 6. remove urinary canal as soon as possible 7. Early activity
8. Early eating. 9. Intradermal suture, 10. Epidural anesthesia and analgesia pain
B:According to the perioperative management principle of the 7th editing Surgery.
Sponsors
Affiliated Hospital of Qingdao University Medical College
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: All of the patients were 1. age range from 18 to 80 years old; 2. clinically diagnosed as having gastric cancer, and the diagnosis was preoperatively confirmed by gastroscopic evaluation and intraoperative macroscopic assessment, the same surgeon complete the operation; 3. having no treatment before operation; 4. Child Pugh A or B; 5. normal hepatic ICG; 6. normal fasting glucose and normal OGTT test. having no disease of DM, other endocrine diseases, hypertension, gastroesophageal reflux and stomach dyskinesia, stomach slippery hernia,gastrointestinal tract obstruction diseases, Not taking hormone and so on; 7. BMI from 18 to 28 kg/m2; 8. WBC>4.0*10^9/L, Plt>100.0*10^9/L, Hb>90g/L; 9. signed and dated informed consent; 10. patients would like to be capable to finish a research plan all treatments, inspection and supervision.
Exclusion criteria
Exclusion criteria: The exclusion criteria included current enrollment in another research study; pregnancy or nursing; severe malnutrition (BMI30 kg/m2); major organs failure such as liver failure, heart failure and pulmonary failure because patients can not affect surgery stress; palliative resection or unresectable of gastric carcinoma; diabetes and other factors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| visual analogue system (VAS);The duration of hospital stay, the fever duration, flatus time, hospital stay;complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| resting energy expenditure (REE); | — |
Countries
China
Contacts
Public ContactYanbing Zhou
Outcome results
None listed