Feeding-jejunostomy nutrition during pre-surgery treatment for esophagus or stomach cancer
Evaluation of the Administration of Artificial Nutrition by Feeding Jejunostomy During Neoadjuvant Treatment on Postoperative Morbidity in the Context of Esophageal or Stomach Cancer
University Hospital, Bordeaux · NCT07584577
This study tests whether giving nutrition through a jejunostomy tube during pre-surgery (neoadjuvant) treatment helps reduce complications after surgery for malnourished people with esophageal or stomach cancer.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 670 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University Hospital, Bordeaux (other) |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Pessac) |
| Trial ID | NCT07584577 on ClinicalTrials.gov |
What this trial studies
This observational study follows malnourished patients with esogastric cancer who receive neoadjuvant therapy and are planned for surgery to document the use of enteral (jejunostomy) or parenteral nutrition and subsequent postoperative outcomes. Investigators will record changes in nutritional status during neoadjuvant treatment, the route and duration of artificial nutrition, and rates of postoperative morbidity. Outcomes for patients who receive feeding jejunostomy support will be compared with those managed without jejunostomy to identify associations with surgical complications. Data are collected prospectively at the participating center in Bordeaux and analyzed to clarify whether preoperative refeeding influences postoperative outcomes.
Who should consider this trial
Good fit: Adults with esophageal or stomach (esogastric) cancer who are malnourished, receiving neoadjuvant therapy, and scheduled for surgical resection are the intended participants.
Not a fit: Patients who are not malnourished or who do not receive neoadjuvant treatment are unlikely to benefit from this intervention.
Why it matters
Potential benefit: If successful, this approach could lower postoperative complication rates and improve recovery by ensuring better nutritional status before surgery.
How similar studies have performed: Existing evidence is limited and mixed, with small retrospective series and few prospective data suggesting a trend toward fewer postoperative complications for esophageal surgery but heterogeneous results overall.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient undergoing surgery for esophageal cancer * Malnourished patient at the time of management * Receiving neoadjuvant treatment Exclusion Criteria: * Patient not malnourished at the time of management * Patient who did not receive neoadjuvant treatment
Where this trial is running
Pessac
- Hopîtal du Haut Lévêque — Pessac, France (RECRUITING)
Study contacts
- Principal investigator: Caroline GRONNIER, MD, PhD — University Hospital, Bordeaux
- Study coordinator: Caroline GRONNIER, PhD, MD
- Email: caroline.gronnier@chu-bordeaux.fr
- Phone: +335-57-62-24-77
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Esophageal Cancer, Surgery Indication, Malnourished, Neoadjuvant Treatment