Comparisons Between Isoperistaltic and Antiperistaltic Gastrojejunostomy in Laparoscopic Distal Gastrectomy
NCT ID: NCT02837874
Last Updated: 2017-11-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
80 participants
INTERVENTIONAL
2016-03-31
2019-03-31
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Isoperistaltic
Same direction of peristalsis between stomach and jejunum, efferent loop of jejunum is located on the distal part of remnant stomach
Isoperistaltic
Same direction of peristalsis between stomach and jejunum, efferent loop of jejunum is located on the distal part of remnant stomach
Antiperistaltic
Reverse direction of peristalsis between stomach and jejunum, efferent loop of jejunum is located on the proximal part of remnant stomach
Antiperistaltic
Reverse direction of peristalsis between stomach and jejunum, efferent loop of jejunum is located on the proximal part of remnant stomach
Interventions
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Isoperistaltic
Same direction of peristalsis between stomach and jejunum, efferent loop of jejunum is located on the distal part of remnant stomach
Antiperistaltic
Reverse direction of peristalsis between stomach and jejunum, efferent loop of jejunum is located on the proximal part of remnant stomach
Eligibility Criteria
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Inclusion Criteria
* Scheduled as laparoscopic distal gastrectomy (tumor located lower or middle third)
* Planned with gastrojejunostomy after gastrectomy
* Clinical stage T1N0M0 or T2N0M0
* ECOG 0 or 1 (The Eastern Cooperative Oncology Group)
* ASA score class I-III (The American Society of Anesthesiologists)
* patient has given their written informed consent to participate in the study
Exclusion Criteria
* Active other malignancy
* Requiring total gastrectomy
* Chronic inflammatory bowel disease or other chronic disease related to bowel motility
* Uncontrolled diabetes or patients with diabetic complications
* Vulnerable patients
20 Years
80 Years
ALL
No
Sponsors
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Keimyung University Dongsan Medical Center
OTHER
Responsible Party
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Seung Wan Ryu
Director of Gastrointesinal surgery, professor
Principal Investigators
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Seung Wan Ryu, M.D., Ph.D.
Role: PRINCIPAL_INVESTIGATOR
Keimyung University Dongsan Medical Center
Locations
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Keimyung University Dongsan Medical Center
Daegu, , South Korea
Countries
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Central Contacts
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Facility Contacts
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Seung Wan Ryu, MD, PhD
Role: primary
In Gyu Kwon, MD
Role: backup
References
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Banerjee A, Ding Y, Mikami DJ, Needleman BJ. The role of dumping syndrome in weight loss after gastric bypass surgery. Surg Endosc. 2013 May;27(5):1573-8. doi: 10.1007/s00464-012-2629-1. Epub 2012 Dec 12.
Bergamaschi R, Arnaud JP, Marvik R, Myrvold HE. Laparoscopic antiperistaltic versus isoperistaltic gastrojejunostomy for palliation of gastric outlet obstruction in advanced cancer. Surg Laparosc Endosc Percutan Tech. 2002 Dec;12(6):393-7. doi: 10.1097/00129689-200212000-00002.
Mine S, Sano T, Tsutsumi K, Murakami Y, Ehara K, Saka M, Hara K, Fukagawa T, Udagawa H, Katai H. Large-scale investigation into dumping syndrome after gastrectomy for gastric cancer. J Am Coll Surg. 2010 Nov;211(5):628-36. doi: 10.1016/j.jamcollsurg.2010.07.003. Epub 2010 Sep 15.
Houghton AD, Liepins P, Clarke S, Mason R. Iso- or antiperistaltic anastomosis: does it matter? J R Coll Surg Edinb. 1996 Jun;41(3):148-51.
Other Identifiers
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2016-02-052
Identifier Type: -
Identifier Source: org_study_id