Patients to require pancreaticoduodenectomy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)Histologically or clinically diagnosed as pancreaticoduodenal cancer (i.e. pancreas head cancer, biliary cancer, papilla cancer or duodenal cancer) (2)Treated with curative resection (3)Needed to be admitted for a week or more in order to relieve jaundice (4)ECOG performance formans status is 0 or 1 (5)Fulfil all following conditions WBC < 10,000/mm3 Hb > 8.0g/dL Cre < 1.5mg/dl
Exclusion criteria
Exclusion criteria: (1)With poor oral intake (2)With other nutrition therapy (3)Being immunocompromised status or receiving steroids (4)With uncontrolled diabetes mellitus (5)With inflammatory bowel disease (6)With bacterial or viral infection (7)With radiation therapy, chemotherapy or nutrition therapy before registration (8)With psychiatric disorder (9)Possibly pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The serum IL-6 value before and after pancreaticoduodenectomy | — |
Secondary
| Measure | Time frame |
|---|---|
| The nutrition status after preoperative enteral nutrition enrichied with Eicosapentaenoic Acid(EPA) The cytokine level after pancreaticoduodenectomy CD4/CD8 T lymphocyte balance after pancreaticoduodenectomy The incidence of post-operative infectious complications The incidence of adverse event | — |
Countries
Japan
Contacts
Shizuoka Cancer Center Division of Hepato-Biliary-Pancreatic Surgery