Perioperative medicine & outcomes

Impact of Preoperative Immunonutrition on the Outcomes of Colon Cancer Surgery: Results from a Randomized Controlled Trial

Ann SurgPublished Randomised controlled trial

Authors' conclusion

Preoperative immunonutrition was not associated with infectious complications in patients undergoing colon cancer surgery.

Study context

Population
Patients with primary colon cancer undergoing elective surgery
Participants
176 patients
Comparison
Preoperative immunonutrition plus normal diet vs normal diet alone
  • Immunonutritionn = 88
  • Normal dietn = 88reference
Primary endpoint
Rate of infectious complications
Methodological detailsEnrolled April 2019 to October 2020; randomised 1:1
  • Enrolled April 2019 to October 2020; randomised 1:1

Primary result

As reported in the abstract

P = 0.751

Secondary outcomes

Total complications

P = 0.743

Predictor of infectious complications: old age

OR (95% CI)P value
Old ageOnly significant predictive factor2.990 (1.179–7.586)P = 0.021

Hospital LOS

P = 0.635

OutcomeImmunonutritionNormal dietP value
Overall change in body weightP = 0.379
Weight change after discharge+0.4 ± 2.1 kg−0.7 ± 2.3 kgP = 0.002

Overall change in body weight

Similar between the two groups

Weight change after discharge

Only the immunonutrition group showed weight recovery after discharge

Original publication

Impact of Preoperative Immunonutrition on the Outcomes of Colon Cancer Surgery: Results from a Randomized Controlled Trial. Ann Surg. Published 4 August 2021. doi:10.1097/sla.0000000000005140

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