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

66 years

Body Mass Index

17.51

albumin

28 g/L

preaalbumin

152 mg/L

transferrin

1.63 g/L

Alanine aminotransferase

18 U/L

Total bilirubin

8 mmol/L

CD3

51.2 %

CD4

38.1 %

CD8

26.8 %

CD4/CD8

1.31

IgA

1.08 %

IgG

7.3 %

IgM

0.78 %

C-reactive protein

2.4 mg/L

Interleukin 6

9 pg/L

albumin

33 g/L

preaalbumin

199 mg/L

transferrin

1.85 g/L

alanine aminotransferase

22 U/L

Total bilirubin

8 mmol/L

CD3

51.2 %

CD4

26.6 %

CD8

22.6 %

CD4/CD8

0.99

IgA

1.08 g/L

IgG

4.3 g/L

IgM

1.05 g/L

C-reactive protein

6 mg/L

Interleukin 6

9.2 pg/L

albumin

28 g/L

preaalbumin

233 mg/L

transferrin

1.78 g/L

Alanine aminotransferase

27 U/L

Total bilirubin

14 mmol/L

CD3

46.5 %

CD4

33.2 %

CD8

24.6 %

CD4/CD8

1.34

IgA

1.1 g/L

IgG

2.9 g/L

IgM

0.29 g/L

C-reactive protein

37 mg/L

Interleukin 6

23.6 pg/L

albumin

26 g/L

preaalbumin

266 mg/L

transferrin

1.9 g/L

Alanine aminotransferase

25 U/L

Total bilirubin

21 mmol/L

CD3

50.3 %

CD4

29.7 %

CD8

20.5 %

CD4/CD8

1.37

IgA

1.62 g/L

IgG

11.5 g/L

IgM

1.06 g/L

C-reactive protein

7.7 mg/L

Interleukin 6

9.5 pg/L