Fasting, Malignant Neoplasm of Stomach
Conditions
Keywords
Gastric cancer surgery, Early oral feeding, Fast track surgery
Brief summary
Study preparation * To progress this prospective study, the investigators analyzed the retrospective data of 426 patients who had been managed with conventional critical pathway after gastric cancer surgery during last 1 year. * Through this retrospective analysis, we decided the inclusion criteria which showed significantly the lower complication rate and shorter hospital stay. Method for Prospective study * Patients who enroll in this prospective study are administered and are supplied a liquid diet one day before surgery without bowel preparation. * After gastric cancer surgery, they start sips of water on postoperative first day, and they are discharged once they exhibit at least three times soft diet without specific complaint and had normal clinical status and physical examination.
Detailed description
Enrollment of patients * Before the patients are enrolled in this study, they give us informed consents. * A liquid diet is supplied beginning from the morning of the day prior to operation to the midnight. Operation and postoperative management * All procedures are approached by laparoscopic surgery, and partial gastrectomy with lymph node dissection are performed. * The patients who are considered to be difficult to progress early oral feeding in surgical field are excluded from the study. * Nasogastric tube is not applied to patients. * Postoperative pain is managed by non-opioid pain killer. * The patients are started on sips of water on the first postoperative day. * If they are tolerable, a liquid diet is started on the second postoperative day, and a soft diet on a third postoperative day for them. * We have a plan to discharge the patients on the fourth postoperative day if they exhibit at least three times soft diet without specific complaint and had normal clinical status and physical examination. Evaluation of patients \- The patients are followed up to 30 days after discharge from hospital, and we check whether they are tolerable without any compliant and are readmitted.
Interventions
DIETARY_SUPPLEMENTEarly recovery
The patients are started on sips of water on the first postoperative day. If they are tolerable, a liquid diet is started on the second postoperative day, and a soft diet on a third postoperative day for them. We have a plan to discharge the patients on the fourth postoperative day if they exhibit at least three times soft diet without specific complaint and had normal clinical status and physical examination.
Sponsors
JW Pharmaceutical
Ajou University School of Medicine
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients who are diagnosed with gastric adenocarcinoma * 65 years old and blew * Patients are expected to be undergone distal subtotal gastrectomy * No complication by gastric cancer * No synchronous metastatic lesions * Laparoscopic or robotic surgery * Informed consent
Exclusion criteria
* Previous gastrectomy history * Combined surgery due to synchronous malignancy * Patients with major organ dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Drop rate from critical pathway | 4 days | It is defined as the proportion of dropped patients from 4 days critical pathway |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 7 days | It is defined as the change of pain scale after surgery |
| Postoperative complication | 30 days | It is defined the complications after surgery |
| Postoperative mortality | 30 days | It will defined as the death case during 30 days after surgery |
| Recovery after surgery | 7 days | It is defined as the time to first flatus and recovery of bowel activity after surgery |
Countries
South Korea
Contacts
Primary ContactHoon Hur, Prof.
Outcome results
None listed