gastric cancer in the elderly
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)Histologically proven gastric carcinoma (2)Distal gastrectomy or total gastrectomy (3)R0 resection or R1 resection solely by CY1 can be obtained (4)Clinical H0, P0, M0 (5) Aged more than 75 years old (only distal gastrectomy, more than 80 years old) (6) Eastern Cooperative Oncology Group (ECOG) PS of 0-2 (7) No obvious organ failures and satisfy the following laboratory data within 28 days before registration: WBC >=3,000/mm3 WBC<12,000/mm3 Platelet >= 100,000/mm3 Hb >= 8.0 g/dL AST <= local reference range 2 ALT <= local reference range 2 T.Bil <= 2.0 mg/dL Creatinin <= 1.5 mg/dL (8)Provided written informed consent
Exclusion criteria
Exclusion criteria: (1)Synchronous or metachronous (within 5 years) malignancies other than carcinoma in situ (2) Patients combined resection of other organs except for gallbradder and spleen. (3) Severe respiratory disease. (4)History of myocardial infarction or unstable angina pectoris within six months. (5) Liver cirrhosis or active hepatitis. (6) Chronic renal failure with hemodialysis. (7) Uncontrolled diabetes mellitus (HbA1c 9.0 or more). (8) Other unfeasible factors to perform study safely approved by attending surgeon.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oral intake calories | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)Appetite (VAS) 2)Body weight loss rate 3)Body composition 4)Postoperative complications rate 5)Postoperative hospitalization 6)QOL 7)Hormone measurement 8)Adverse events | — |
Countries
Japan
Contacts
Graduate School of Medicine, Osaka University Department of Gastroenterological Surgery