osteoporosis after gastrectomy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients who underwent gastrectomy within five years. 2. Pathological stageI patients or stages II/III patients without recurrence for at least three years after surgery. 3. Bone mineral density <80% of the YAM (young adult mean) assessed by dual-energy x-ray absorptiometry. 4. Age 20 years and over. 5. Eastern Cooperative Oncology Group (ECOG) PS 0 or 1 6. Serum levels of alkaline phosphatase, calcium, phosphorus, 1,25-dihydroxyvitamin D3 and undercaboxylated osteocalcin were within the normal range. 7. Signed informed consent documents
Exclusion criteria
Exclusion criteria: 1. Patients who received local resection of the stomach 2. Patients who receive chemotherapy due to recurrent or remnant gastric cancer 3. Passage disturbance of esophagus due to achalasia or mechanical stenosis 4. Uncontrolled reflux esophagitis even by medication 5. Renal dysfunction or serum creatinine 1.5mg/dL or less 6. Scoliosis or compressed fracture of lumbar spine 7. Patients who received or plans extraction of tooth within three months 8. Previous treatment of bisphosphonate within six months 9. Patients who receive thyroid hormone or antithyroid hormone 10. Diabetes mellitus controlled by insulin 11. Patients who receive warfarin 12. Patients who receive any medication affecting bone metabolism. 13. Patients who have mental disorder or severe mental symptom 14. Allergy to the alendronate and vitamin D3 15. Other active malignancy occurring within 5 years before enrollment 16. Patients who are judged as inappropriate for study entry by the investigators
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change of bone mineral density after one year administration of alendronate | — |
Secondary
| Measure | Time frame |
|---|---|
| Compliance of alendronate and activated vitamin-D3 Adverse events of alendronate and activated vitamin-D3 | — |
Countries
Japan
Contacts
Kanagawa Cancer Center Department of Gastrointestinal Surgery