Incidental Finding of Gastrointestinal Stromal Tumors (GISTs) During Laparoscopic Sleeve Gastrectomy, How to Deal? How Much Safety Margin
NCT ID: NCT04344847
Last Updated: 2020-04-14
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
338 participants
INTERVENTIONAL
2016-12-12
2020-06-12
Brief Summary
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Detailed Description
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GISTs could be safely removed laparoscopically during LSG surgery with negative microscopic resection margins, with 1-2cm safety margin. Margins less than 1cm, high mitotic rate are adverse prognostic factors.
Examining the whole stomach before resection is mandatory and can easily be done during LSG, GIST can be removed safely with LSG
Conditions
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Study Design
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SEQUENTIAL
TREATMENT
NONE
Study Groups
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coincidental GIST during LSG patients
With institutional review board approval from Zagazig University Hospitals 338. A double-centre prospective study was conducted on prospectively collected data of all morbidly. 17 patients in Zagazig University Hospitals, Faculty of Medicine, Egypt and 321 patients done in bariatric surgery excellence unit in a tertiary hospital in Riyadh-KSA.
Laparoscopic sleeve gastrectomy
Excision of Gastric GIST along fundus or body of stomach in the same specimen of LSG with safety margin 1-2cm
Interventions
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Laparoscopic sleeve gastrectomy
Excision of Gastric GIST along fundus or body of stomach in the same specimen of LSG with safety margin 1-2cm
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* patients with hiatus hernia
* age under 21 years
21 Years
42 Years
ALL
No
Sponsors
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Bassem Mohamed Sieda
OTHER_GOV
Responsible Party
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Bassem Mohamed Sieda
Assistant professor of general surgery, faculty of medicine
Locations
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Saudi german hospital
Riyadh, , Saudi Arabia
Countries
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Facility Contacts
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References
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Lyros O, Moulla Y, Mehdorn M, Schierle K, Sucher R, Dietrich A. Coincidental Detection of Gastrointestinal Stromal Tumors During Laparoscopic Bariatric Procedures-Data and Treatment Strategy of a German Reference Center. Obes Surg. 2019 Jun;29(6):1858-1866. doi: 10.1007/s11695-019-03782-y.
Mazer L, Worth P, Visser B. Minimally invasive options for gastrointestinal stromal tumors of the stomach. Surg Endosc. 2021 Mar;35(3):1324-1330. doi: 10.1007/s00464-020-07510-x. Epub 2020 Mar 27.
Inaba CS, Dosch A, Koh CY, Sujatha-Bhaskar S, Pejcinovska M, Smith BR, Nguyen NT. Laparoscopic versus open resection of gastrointestinal stromal tumors: survival outcomes from the NCDB. Surg Endosc. 2019 Mar;33(3):923-932. doi: 10.1007/s00464-018-6393-8. Epub 2018 Aug 31.
Other Identifiers
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0000-0002-9590
Identifier Type: -
Identifier Source: org_study_id
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