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CTRI Number  CTRI/2026/07/113935 [Registered on: 14/07/2026] Trial Registered Prospectively
Last Modified On: 11/07/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Single Arm Study 
Public Title of Study   Comparing Two Feeding Tube Methods to Improve Nutrition and Recovery after Stomach Cancer Surgery 
Scientific Title of Study   Nutritional Impact of Prophylactic Feeding Jejunostomy in Major Upper GI Cancer Surgery: A Prospective Cohort Study of 300 Patients 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Syed Nusrath 
Designation  Consultant, Surgical Oncology 
Affiliation  Basavatarakam Indo American Cancer Hospital and Research Institute  
Address  Department of surgical oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Road No 10, Banjara Hills, Hyderabad, Telangana, India 500034

Hyderabad
TELANGANA
500034
India 
Phone  9030747486  
Fax  040-2354 2120  
Email  dr.nusrath2008@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Syed Nusrath 
Designation  Consultant, Surgical Oncology 
Affiliation  Basavatarakam Indo American Cancer Hospital and Research Institute  
Address  Department of surgical oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Road No 10, Banjara Hills, Hyderabad, Telangana, India 500034

Hyderabad
TELANGANA
500034
India 
Phone  9030747486  
Fax  040-2354 2120  
Email  dr.nusrath2008@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Syed Nusrath 
Designation  Consultant, Surgical Oncology 
Affiliation  Basavatarakam Indo American Cancer Hospital and Research Institute  
Address  Department of surgical oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Road No 10, Banjara Hills, Hyderabad, Telangana, India 500034

Hyderabad
TELANGANA
500034
India 
Phone  9030747486  
Fax  040-2354 2120  
Email  dr.nusrath2008@gmail.com  
 
Source of Monetary or Material Support  
Basavatarakam Indo American Cancer Hospital and Research Insitute, Hyderabad, Telangana, India 
 
Primary Sponsor  
Name  Basavatarakam Indo American Cancer Hospital and Research Institute 
Address  Basavatarakam Indo American Cancer Hospital and Research Institute, Road No 10, Banjara Hills, Hyderabad, Telangana, India 500034 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Syed Nusrath  Basavatarakam Indo American Cancer Hospital and Research Institute  Room no 2, OT complex, 4th Floor, Block no 1
Hyderabad
TELANGANA 
9030747486

dr.nusrath2008@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics committe of Basavatarakam Indo American Cancer Hospital and Research Institute  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Prophylactic Feeding Jejunostomy  Patients undergoing curative major upper gastrointestinal cancer surgery will receive prophylactic feeding jejunostomy placement during surgery Wieght monitoring weekly till 3 months serum albumin every 2 weekly till 3 months  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Age 18 to 75 years

Histologically confirmed upper gastrointestinal malignancy

Patients scheduled for curative-intent major upper GI oncologic surgery such as esophagectomy gastrectomy or pancreatoduodenectomy with planned prophylactic feeding jejunostomy placement

ECOG performance status 0 to 2

Ability and willingness to provide written informed consent 
 
ExclusionCriteria 
Details  Patients undergoing palliative surgery only

Patients with pre-existing enteral feeding access eg PEG or jejunostomy

Known allergy or hypersensitivity to jejunostomy tube materials

Expected survival less than 3 months due to advanced disease or severe comorbidities

Pregnant patients 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Absolute change in body weight in kgs from preoperative baseline to 3 months after surgery in patients undergoing major upper gastrointestinal cancer surgery with prophylactic feeding jejunostomy  at baseline and at 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Mean change in serum albumin levels from baseline to 3 months  At baseline
At 2 weeks
At 4 weeks & at 3 months postoperatively 
Incidence & type of FJ related complications graded according to Clavien Dindo classification  Within 3 months after surgery 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/09/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Malnutrition is common in patients undergoing major upper gastrointestinal cancer surgery and can negatively affect postoperative recovery and long-term outcomes. Prophylactic feeding jejunostomy (FJ) is frequently placed during surgery to provide early enteral nutrition; however, detailed prospective data on postoperative nutritional recovery in these patients remain limited. This prospective single-center observational cohort study aims to evaluate the nutritional impact of prophylactic feeding jejunostomy in patients undergoing major upper gastrointestinal cancer surgery. A total of 300 consecutive patients undergoing curative surgery such as esophagectomy, gastrectomy, or pancreatoduodenectomy with planned prophylactic FJ placement will be enrolled. The primary outcome is the change in body weight from preoperative baseline to 3 months after surgery. Secondary outcomes include changes in serum albumin levels, the proportion of patients experiencing significant weight loss, postoperative complications, feeding jejunostomy–related complications, and hospital outcomes. Patients will be followed with scheduled weight and laboratory assessments for 3 months after surgery to characterize postoperative nutritional recovery and identify factors associated with poor nutritional outcomes. 
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