Esophagus Cancer
Conditions
Keywords
malnutrition, parenteral supplement, rest metabolic rate, postoperative complications
Brief summary
Malnutrition is common in esophagus cancer patients, especially after surgery therapy. Whether parenteral supplement with enteral nutrtion is benificial for patients after esophagectomy is controversial, when compared with enteral nutrition alone. In this study, the investigators are to examine the effect of enteral nutrition supplemented with parenteral nutrtion on nutrition status after esophagectomy.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of esophagus cancer * Undergo esophagectomy * Nasoenteral tube is placed or surgical jejunostomy is performed
Exclusion criteria
* Contraindication for enteral nutrition or parenteral nutrition * Malnutrition before surgery ( BMI \> 30 or \< 18.5) * Hepatic dysfunction preoperatively * Renal dysfunction preoperatively * Infection before surgery * Usage of corticosteroid before surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative laboratory parameters changes for nutrition assessment compared to preoperation | from one day before surgery to the 7th postoperative day | plasma albumin, prealbumin, transferrin, retinaldehyde-binding protein, total lymphocytes counts |
| postoperative body composition change compared to preoperation measurement | from one day before surgery to the 7th postoperative day | postoperative body composition is compared to preoperation, bioelectrical impedance spectroscopy is used for measurement of body composition |
Other
| Measure | Time frame | Description |
|---|---|---|
| complicatons incidence after surgery | 28 days after surgery | complications involve anastomotic leakage, incision infection, pneumonia, catherter-related blood stream infection, respiratory failure |
Countries
China