Older than the age of 65

according to gastric cancer guidelines diagnostic criteria of the national comprehensive cancer network (NCCN) in 2014, were diagnosed with stage II, III gastric cancer postoperative

According to Nutritional Risk Screening 2002 (NRS 2002) of the European society of parenteral enteral nutrition, their global scoring were more than 3 points

normal hepatic and renal function before surgery

hormone, immunopotentiator or immunosuppressor were not administered half a year before surgery

Without radiotherapy, and chemotherapy preoperative

moderate anemia, hemoglobin< 90 g/L

severe hypoalbuminemia, albumin< 25 g/L

with at least one disease as listed following

metabolic and allergic diseases,Such as total triglyeride>2.26mmol or total cholesterol>6.2mmol/L

overweight patients, BMI＞28

Special circumstances in the operation

age

67 years

Body Mass Index

20.86

albumin

35 g/L

preaalbumin

252 mg/L

transferrin

2.21 g/L

Alanine aminotransferase

32 U/L

Total bilirubin

15 mmol/L

CD3

46.2 %

CD4

23.3 %

CD8

26.5 %

CD4/CD8

0.89

IgA

1.26 %

IgG

9.6 %

IgM

0.98 %

C-reactive protein

5.2 mg/L

Interleukin 6

6.7 pg/L

albumin

36 g/L

preaalbumin

244 mg/L

transferrin

2.26 g/L

alanine aminotransferase

22 U/L

Total bilirubin

23 mmol/L

CD3

45.1 %

CD4

23.3 %

CD8

24.5 %

CD4/CD8

0.97

IgA

0.93 g/L

IgG

4.7 g/L

IgM

0.98 g/L

C-reactive protein

2.8 mg/L

Interleukin 6

2.2 pg/L

albumin

33 g/L

preaalbumin

226 mg/L

transferrin

1.83 g/L

Alanine aminotransferase

20 U/L

Total bilirubin

60 mmol/L

CD3

42.8 %

CD4

27 %

CD8

29.3 %

CD4/CD8

0.89

IgA

0.37 g/L

IgG

9.38 g/L

IgM

1.82 g/L

C-reactive protein

15 mg/L

Interleukin 6

7.5 pg/L

albumin

33 g/L

preaalbumin

276 mg/L

transferrin

2.13 g/L

Alanine aminotransferase

18 U/L

Total bilirubin

42 mmol/L

CD3

49.7 %

CD4

19.6 %

CD8

21.9 %

CD4/CD8

0.77

IgA

0.82 g/L

IgG

3.38 g/L

IgM

0.37 g/L

C-reactive protein

17 mg/L

Interleukin 6

21.5 pg/L