Additional Effects of Perioperative Immunonutrition in Patients Undergoing Pancreaticoduodenectomy
Study Details
Study Description
Brief Summary
The purpose of this study is to investigate whether perioperative immunonutrition has additional effects on cell-mediated immunity in patients undergoing pancreaticoduodenectomy.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
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.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Perioperative Oral IMPACT (1 L/day) for 5 days before surgery and by enteral feeding after surgery |
Dietary Supplement: Oral IMPACT
Oral IMPACT enriched with arginine, omega-3 fatty acids, and RNA by enteral feeding after surgery
Other Names:
|
Active Comparator: Preoperative Oral IMPACT 1000ml/day for 5 days (1 L/day) before surgery |
Dietary Supplement: Oral IMPACT
Oral IMPACT enriched with arginine, omega-3 fatty acids, and RNA by enteral feeding after surgery
Other Names:
|
Outcome Measures
Primary Outcome Measures
- plasma resolvin E1, cell-mediated immunity [30 days]
Secondary Outcome Measures
- infectious complication rate [30 days]
Eligibility Criteria
Criteria
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
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Chiba University Hospital | Chiba | Japan | 260-8670 |
Sponsors and Collaborators
- Chiba University
Investigators
- Study Director: Katsunori Furukawa, MD, Chiba University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- AEPIPD