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

72 years

Body Mass Index

18.38

albumin

28 g/L

preaalbumin

165 mg/L

transferrin

1.92 g/L

Alanine aminotransferase

20 U/L

Total bilirubin

15 mmol/L

CD3

32.9 %

CD4

19.3 %

CD8

17.4 %

CD4/CD8

1.24

IgA

1.85 %

IgG

9.8 %

IgM

0.9 %

C-reactive protein

6.3 mg/L

Interleukin 6

1.4 pg/L

albumin

g/L

preaalbumin

mg/L

transferrin

g/L

alanine aminotransferase

U/L

Total bilirubin

mmol/L

CD3

%

CD4

%

CD8

%

CD4/CD8

IgA

g/L

IgG

g/L

IgM

g/L

C-reactive protein

mg/L

Interleukin 6

pg/L

albumin

24 g/L

preaalbumin

188 mg/L

transferrin

1.48 g/L

Alanine aminotransferase

20 U/L

Total bilirubin

12 mmol/L

CD3

57.2 %

CD4

40.7 %

CD8

23.8 %

CD4/CD8

1.76

IgA

1.1 g/L

IgG

5.43 g/L

IgM

0.3 g/L

C-reactive protein

23 mg/L

Interleukin 6

22 pg/L

albumin

32 g/L

preaalbumin

228 mg/L

transferrin

1.65 g/L

Alanine aminotransferase

76 U/L

Total bilirubin

12 mmol/L

CD3

38.9 %

CD4

27.8 %

CD8

25.3 %

CD4/CD8

1.02

IgA

0.5 g/L

IgG

5.6 g/L

IgM

1.16 g/L

C-reactive protein

8 mg/L

Interleukin 6

12.9 pg/L