Table 1. Basic characteristics of each study included in this network meta-analysis.
Study ID | Country | Diagnosis | Age of Participants (years) | Number of Participants (T/C) | Nutrition status (Malnutrition/Well nutrition) | Intervention regimes | Reported outcomes | |
---|---|---|---|---|---|---|---|---|
Treatment group | Control group | |||||||
Farreras N 2005[24] |
Spain | Gastric cancer | 66.7 ± 8.3/ 69.2 ± 13.8 |
30/30 | 13/53 | Early immune-enhanced nutrition EN given product which enriched with Arg, Gln and ω-3-FAs for the next 7 days | Patients received standard EN support for the next 7 days | ICs, LOS |
Fujitani K 2012[3] |
Japan | Gastric adenocarcinoma |
64 (26~78)/ 65 (30~79) |
120/111 | 239/5 | Patients received 1000 ml/day of preoperative oral supplementation in the form of an immunonutrients-enriched enteral feed which mainly composed by Arg of 1.28 g/100 mL and RNA of 0.13 mg/mL) added to normal diet for 5 consecutive days before surgery | Patients received regular diet without any nutritional supplementation for 5 consecutive days before surgery | ICs, NICs, LOS |
Liu H 2012[25] |
China | Advanced gastric cancer | 57.3 ± 7.1/ 58.4 ± 6.3 |
28/24 | Not stated | Patients received standard EN of 500 mL per bottle consisting of 20.0 g total protein, 9.5 g fat, 61.5 g carbohydrate, 7.5 g fiber, 3.0 g minerals and 0.15 g vitamins, providing 500 kcal of total energy supplemented with formula enriched with Gln (12.5 g/L) and Arg (9.0 g/L) for the next 7 days |
Patients received standard EN of 500 mL per bottle consisting of 20.0 g total protein, 9.5 g fat, 61.5 g carbohydrate, 7.5 g fiber, 3.0 g minerals and 0.15 g vitamins, providing 500 kcal of total energy for the next 7 days | ICs, LOS |
Liu H 2011[26] |
China | Advanced gastric cancer | 71.5 ± 6.1/ 74.1 ± 9.3 |
28/28 | Not stated | Patients were supplemented with immune nutrition enriched with Arg of 9.0 g/ and Gln of 12.5 g/L in addition to the standard EN for the next 7 days | Patients received standard EN for the next 7 days | ICs, LOS |
Liu Z 2011[27] |
China | Advanced gastric cancer | 61.1 ± 7.5/ 61.6 ± 7.2 |
21/21 | Not stated | Patients were supplemented with immunonutrients enriched with Arg, ω-3-FAs and RNA in addition to the standard EN for the first day after surgery lasted for 8 days | Patients were received standard EN for the first day after surgery lasted for 8 days | ICs |
Marano L 2013[6] |
Italy | Gastric adenocarcinoma |
66.6(55–78)/ 65.1(49–83) |
54/55 | 63/115 | Patients received immune nutrition enriched with Arg, ω-3-FAs and RNA in the 6 h after the surgery until the 7 postoperative day | Patients received standard EN in the 6h after the surgery until the 7 postoperative day | ICs, NICs, LOS |
Okamoto Y 2009[29] |
Japan | Gastric cancer | 66.9 ± 11.5/ 70.9 ± 13.2 |
30/30 | Not stated | Patients were given 750 ml per day immune-enhanced formulas supplemented with Arg of 9.6 g, RNA of 0.96, and ω-3 FAs of 3.1 g for 7 consecutive days before the operation. | Patients received isoenergetic standard formulas for 7 consecutive days before the operation. | ICs, NICs, LOS, |
Xue JB 2011[31] |
China | Gastric cancer | 56.6 ± 8.9/ 58.2 ± 8.0 |
26/26 | Not stated | Early immune-enhanced nutrition EN given product which enriched with Arg, Gln and ω-3-FAs for the second day after surgery lasted for 7 days | Patients received standard EN support for the second day after surgery lasted for 7 days | ICs, LOS |
Xie Q 2010[30] |
China | Gastric cancer | 62.5 ± 11.9/ 61.3 ± 11.7 |
29/29 | Not Stated | Patients were supplemented with immunonutrients enriched with Arg, ω-3-FAs and RNA in addition to the standard EN for the first day after surgery lasted for 8 days | Patients were received standard EN for the first day after surgery lasted for 8 days |
ICs |
Lu QC 2009[28] |
China | Gastric cancer | 68.6 ± 5.6/ 69.1 ± 5.9 |
25/25 | Not Stated | Patients were supplemented with immunonutrients enriched with Arg, ω-3-FAs and RNA in addition to the standard EN for the second day after surgery lasted for 7 days | Patients were received standard EN for the second day after surgery lasted for 7 days | ICs, LOS |
Chen BS 2014[23] |
China | Gastric cancer | 66.3 ± 8.6/ 66.5 ± 8.2 |
35/35 | Not Stated | Patients were supplemented with immunonutrients enriched with Arg, ω-3-FAs and RNA in addition to the standard EN for the seventh day before surgery lasted the seventh days after 7 surgery | Patients were received standard EN for the seventh day before surgery lasted the seventh days after 7 surgery | ICs, NICs, LOS |
T = treatment group, C = control group, EN = enteral nutrition, EIN = enteral immunonutrition, Arg = arginine; Gln = glutamine, RNA = ribonucleic acid, ω-3-FA = omega-3-fatty acids, ICs = infectious complications, NICs = noninfectious complications, LOS = length of hospital stay.