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The purpose of this study is to investigate whether perioperative immunonutrition has additional effects on cell-mediated immunity in patients undergoing pancreaticoduodenectomy.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Perioperative | Active Comparator | Oral IMPACT (1 L/day) for 5 days before surgery and by enteral feeding after surgery |
|
| Preoperative | Active Comparator | Oral IMPACT 1000ml/day for 5 days (1 L/day) before surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oral IMPACT | Dietary Supplement | Oral IMPACT enriched with arginine, omega-3 fatty acids, and RNA by enteral feeding after surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| plasma resolvin E1, cell-mediated immunity | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| infectious complication rate | 30 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Katsunori Furukawa, MD | Contact | +81-43-222-7171 | 72235 | k-furukawa@umin.ac.jp |
| Daisuke Suzuki, MD | Contact | +81-43-222-7171 | 72234 | d-suzuki@umin.ac.jp |
| Name | Affiliation | Role |
|---|---|---|
| Katsunori Furukawa, MD | Chiba University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chiba University Hospital | Recruiting | Chiba | Chiba | 260-8670 | Japan |
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| ID | Term |
|---|---|
| D010190 | Pancreatic Neoplasms |
| D001650 | Bile Duct Neoplasms |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
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| ID | Term |
|---|---|
| D036881 | Long-Term Synaptic Depression |
| ID | Term |
|---|---|
| D009473 | Neuronal Plasticity |
| D009424 | Nervous System Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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|
| D004066 |
| Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
| D001661 | Biliary Tract Neoplasms |
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |