Pancreatic Cancer Clinical Trial
Official title:
Prospective Study of Preoperative Nutritional Support in Malnutritional Pancreatobiliary Cancer Patients
Malnutrition patients are known to have more postoperative complications and mortality. And
most of hepatobiliary-pancreatic cancer surgeries accompany high postoperative morbidity and
mortality rate. Therefore for the malnourished patients anticipating major surgery,
preoperative nutritional support is recommended according to the ASPEN (American society of
parenteral and enteral nutrition) and ESPEN (European society of parenteral and enteral
nutrition) guideline. However there is no prospective trial to prove the clinical impact of
preoperative nutritional support for malnourished patients.
The purpose of this study is to evaluate the clinical impact of preoperative nutritional
support for malnourished cancer patients anticipating HBP surgery. Primary objective is to
compare the complication rate and secondary object is to compare the quality of life,
hospital stay and cost.
This is single arm study with historical comparison. The historical control group did not
receiving nutritional support. In previous results show that about 25% complication rates.
Complication rates are expected in the group receiving nutritional support is less than 10 %
( previous studies (NCCNCS-11-460)).
For support group, preoperative nutritional support is given for 5 or more days
preoperatively by nutritional support program. Nutritional support program is briefly
described below.
Interval: 5-10 days Contents: admission is required
- Calories: 30-35Kg, via enteral or parenteral
- Protein: 1.2-1.5g/Kg
- Lipid : 1-1.5g/Kg
- Mineral and vitamins supply
- Blood glucose control
- Daily monitoring by dietician and specialized nurse
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