Gastric Cancer Clinical Trial
Official title:
Safety and Effectiveness of Oral Administration of 5% Glucose Solution 250ml 2-3 Hours Before Surgery in Gastric Cancer Patients for Elective Radical Resection
This study aims to assess the impact of preoperative oral carbohydrate drink on gastric emptying and PH of gastric fluid in gastric cancer patients directly. Furthermore, investigators aim to evaluate the safety and effectiveness of preoperative oral carbohydrate in elective gastric cancer surgery, providing direct evidence for clinical practice.
In clinic, administration of oral carbohydrate 2-3 hours before surgery has been widely
applied in elective colorectal surgery. However, no direct evidence has been showed that
whether it is safe to do so in gastric cancer patients who are fit for elective radical
gastric resection.
This study aims to discuss the impact and safety of oral administration of 5% glucose
solution 250ml 2-3 hours before elective gastric cancer surgery. It is an equivalence study,
which refers to a single-center, prospective, single blind, and randomized controlled study
design. Eighty-eight patients with gastric adenocarcinoma are going to be enrolled in the
study, who will be allocated into control or treatment group. Patients in control group
follow the traditional routine of 6-8 hours preoperative fasting, while those in the
treatment group will orally intake 250ml 5% glucose solution 2-3 hours before surgery. The
primary end-point is the preoperative gastric residual volume. The secondary end-points
include preoperative PH of gastric fluid, assessment of perioperative psychosomatic
conditions, rate of perioperative complications, level of insulin sensitivity, recovery of
bowel function, and the length of hospital stay, etc.
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