Organ support & nutrition

Efficacy of Simple Oral Nutritional Supplements versus Usual Care in Postoperative Patients with Gastric Cancer: A Multicenter, Open-label, Parallel, Randomized Controlled Trial

Ann SurgPublished Randomised controlled trial

Authors' conclusion

The simple ONS for 8 weeks after gastrectomy reduced postoperative BWL in patients with gastric cancer.

Study context

Population
Patients undergoing curative gastrectomy for gastric cancer, 19 institutions2 oral nutritional supplement (ONS) lost to follow-up
Participants
124 patients
Comparison
Simple ONS vs usual care
  • ONSn = 62
  • Controln = 62reference
Primary endpoint
Percentage of body weight loss (BWL) from baseline
Follow-up
Postoperative 8 weeks
Methodological detailsmulticentre
  • Multicentre

Primary result

As reported in the abstract

ONS

−4.8%

Control

−6.4%

P = 0.039

Secondary outcomes

ONS adherence (mean intake)
308.7 · mean · SD 97.0 · mL/d
  • ONS adherence (mean intake): >75%

Handgrip strength and hematological parameters

No significant differences

Safety

Adverse events · comparable

P = 0.373

Symptom scores for insomnia, appetite loss, diarrhea during intervention

Higher in the ONS group

Original publication

Efficacy of Simple Oral Nutritional Supplements versus Usual Care in Postoperative Patients with Gastric Cancer: A Multicenter, Open-label, Parallel, Randomized Controlled Trial. Ann Surg. Published 7 August 2025. doi:10.1097/sla.0000000000006888

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