Pancreatic Tumor, Bile Duct Tumor
Conditions
Keywords
Immunonutrition
Brief summary
The purpose of this study is to investigate whether perioperative immunonutrition has additional effects on cell-mediated immunity in patients undergoing pancreaticoduodenectomy.
Detailed description
The investigators reported that perioperative immunonutrition had no additional effects compared with preoperative immunonutrition in patients underwent colorectal surgery (Braga M, Gianotti L, Vignali A, Carlo VD. Preoperative oral arginine and n-3 fatty acid supplementation improves the immunometabolic host response and outcome after colorectal resection for cancer. Surgery. 2002; 132:805-14, PMID: 12464864). Object of this study is to investigate the additional effects of perioperative immunonutrition on cell-mediated immunity and incidence of infectious complication after pancreaticoduodenectomy.
Interventions
Oral IMPACT enriched with arginine, omega-3 fatty acids, and RNA by enteral feeding after surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* patients undergoing pancreaticoduodenectomy
Exclusion criteria
* age younger than 18 years old * ongoing infection * gastrointestinal obstruction * respiratory dysfunction * cardiac dysfunction * hepatic dysfunction * renal failure * history of recent immunosuppressive or immunological disease * preoperative evidence of widespread metastatic disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| plasma resolvin E1, cell-mediated immunity | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| infectious complication rate | 30 days |
Countries
Japan