Quality of Life and Nutritional Status After Two Surgical Techniques in Pancreatoduodenectomy

NCT ID: NCT03984734

Last Updated: 2019-06-13

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-08-31

Study Completion Date

2008-08-31

Brief Summary

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This was a randomized unblinded single-centre trial. The main hypothesis of the study was that pylorus-preserving pancreatoduodenectomy reduces the incidence of delayed gastric emptying . Patients undergoing pancreatoduodenectomy were randomized to undergo one of two types of surgical technique: pylorus-preserving pancreatoduodenectomy versus stardard pancreatoduodenectomy with antrectomy. The primary endpoint was the incidence and severity of delayed gastric emptying. Secondary endpoints were postoperative morbidity and mortality, length of hospital stay, and nutritional status and quality of life.

Detailed Description

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This was a randomized unblinded single-centre trial without masked evaluation of the main outcome.The authors decided to compare pancreatoduodenectomy with antrectomy versus pancreatoduodenectomy with pyloric preservation. The primary aim of this randomized clinical trial was to determine whether pancreatoduodenectomy with pyloric preservation is associated with a lower incidence and severity of delayed gastric emptying. Secondary endpoints were postoperative complications, postoperative mortality and duration of hospital stay. Patients undergoing pancreatoduodenectomy were randomized to undergo one of two types of gastroenteric anastomosis for reconstruction. Analytical parameters such as C-reactive protein, prealbumin, and albumin; as well as anthropometric measures (mean) as preoperative arm circumference mean and tricipital skinfold mean were registered preoperatively, at 5th week, and at 6th mounth. Scintigraphic study had performed following a specific protocol for gastric emptying. At the end, quality of life was also analized with a quality of life questionnaire (QLPAN26) preoperativelly and postoperatively.

Conditions

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Delayed Gastric Emptying

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control group

Patients undergoing pancreatoduodenectomy with antrectomy

Group Type ACTIVE_COMPARATOR

Pancreatoduodenectomy with antrectomy

Intervention Type PROCEDURE

Study group

Patients undergoing pancreatoduodenectomy with pylorus-preserving pancreatoduodenectomy

Group Type EXPERIMENTAL

Pylorus-preserving pancreatoduodenectomy

Intervention Type PROCEDURE

Interventions

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Pancreatoduodenectomy with antrectomy

Intervention Type PROCEDURE

Pylorus-preserving pancreatoduodenectomy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients who underwent surgical resection of the head of the pancreas at the authors' institution from August 2003 to August 2008. Adults of either sex aged over 18 years were included.

Exclusion Criteria

* Associated resections of other organs, except for the portal or superior mesenteric vein
* Total pancreatectomy
* Previous gastrectomy or other gastric surgeries
* Neoadjuvant treatment
* Liver cirrhosis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Universitari de Bellvitge

OTHER

Sponsor Role lead

Responsible Party

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BUSQUETS, JULI

Staff surgeon Bellvitge Universitary Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Juan Fabregat Prous, Dr.

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari de Bellvitge

References

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Busquets J, Martin S, Secanella L, Sorribas M, Cornella N, Altet J, Pelaez N, Bajen M, Carnaval T, Videla S, Fabregat J. Delayed gastric emptying after classical Whipple or pylorus-preserving pancreatoduodenectomy: a randomized clinical trial (QUANUPAD). Langenbecks Arch Surg. 2022 Sep;407(6):2247-2258. doi: 10.1007/s00423-022-02583-9. Epub 2022 Jul 4.

Reference Type DERIVED
PMID: 35786739 (View on PubMed)

Other Identifiers

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QUANUPAD

Identifier Type: -

Identifier Source: org_study_id

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