Gastric cancer
Conditions
Interventions
Clinical pharmacists whole-course Nutrition Management Group:Clinical pharmacists develop a program of nutritional support throughout the course
Non-clinical pharmacists intervention group:Nutritional support was carried out throughout the whole-course according to clinical routine
Sponsors
Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Patients aged 18-80 years old who meet the diagnostic criteria for gastric cancer and need surgical intervention; 2.Preoperative radiotherapy and chemotherapy were not performed; 3.Voluntary subjects and signed informed consent; 4.Able to communicate well with researchers and follow the whole test requirements.
Exclusion criteria
Exclusion criteria: 1.Not meet the inclusion criteria; 2.Cachexia was assessed by nutrition; 3.Combined metabolic diseases: such as diabetes; 4.There are malignant tumors in other parts at the same time; 5.Patients with intraoperative metastases or who cannot undergo gastrectomy for gastric cancer according to the preoperative plan and turn to palliative care; 6.Patients with senile dementia, cerebral atrophy, acute stage or sequelae of cerebrovascular disease, and cognitive impairment; 7.Mental and neurological disorders that prevent medical cooperation; 8.Failure to effectively control local or systemic bacterial infection at acute stage; 9.The patient has surgical contraindications, such as serious cardiopulmonary disease and coagulation dysfunction; 10.Patients with shock and critical illness, unable to cooperate with operation and evaluation effect; 11.Enteral nutrition contraindications: patients with intestinal obstruction, gastrointestinal bleeding, severe shock, intestinal ischemia, etc.; 12.Other situations in which participation in the study was deemed inappropriate by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Laboratory test indicators (prealbumin, albumin, total albumin, transferrin, vitamin B1, vitamin B12, folic acid, Vitamin D);Body composition analysis index(Muscle mass, body fat, skeletal muscle, intracellular water, extracellular water);Dietary standard rate;Percentage of weight loss; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative complications (e.g., diarrhea, bloating, gastroparesis, abdominal infection, ascites, gastrointestinal bleeding, intestinal obstruction);Postoperative recovery indicators (intestinal function recovery first exhaust, defecation time, fluid recovery time, total length of hospital stay);Economic evaluation index (hospitalization cost, total drug cost, nutrition preparation cost); | — |
Countries
China
Contacts
Public ContactXiaojie Bian
Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School
Outcome results
None listed