head and neck cancer surgery patients with free flaps reconstruction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. At least 20 years of age, of either gender 2. Has undergone head/neck cancer surgery with free flaps reconstruction (excepting jejunum surgery cases, no laparotomy) 3. Possibility of nutritional supplementation via enteral nutrition beginning within 24 h of surgery, for at least 5 days 4. Wish to participate in present trial, written informed consent obtained from subject themselves or family member/relative Patients must fulfill all of criteria 1 to 4 above for participation.
Exclusion criteria
Exclusion criteria: 1. Pregnancy or lactation 2. Less than 20 years of age 3. Very short vital prognosis (expected to live less than 28 days due to uncontrolled cancer or other chronic or incurable terminal diseases) 4. Recent stroke or subarachnoid hemorrhage 5. Non-functioning ileus or intestinal tract 6. Significant immunosuppression (leukocytes<1000 cells/mm3) 7. Infection with human immunodeficiency virus 8. Hyperlipidemia (TG>500, T-cho>300) 9. Unsuitability for enteral nutrition 10.Recent gastrointestinal hemorrhage 11. Poorly controlled diarrhea 12. Congenital metabolism disorder 13. Milk protein intolerance 14. Acute nephritis, nephrosis, end-stage renal disease requiring strict limitation of protein, electrolytes 15. Cardiac failure accompanied by nausea, vomiting, diarrhea 16. Participation in another trial within 30 days prior to registration for present trial 17. Judged unsuitable by principal or sub-investigator for other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in maximum body temperature; CRP; Procalcitonin | — |
Secondary
| Measure | Time frame |
|---|---|
| Days in ICU; Days in hospital | — |
Countries
Japan
Contacts
Tokyo Medical University Hachioji Medical Center Otolaryngology, Head and Neck Surgery