Tranexamic Acid in Sleeve Gastrectomy

NCT ID: NCT05696951

Last Updated: 2023-01-25

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

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-01

Study Completion Date

2023-01-02

Brief Summary

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The effectiveness of Tranexamic acid use will be measured in cases of sleeve gastrectomy in bariatric surgery and in early postoperative bleeding.

Detailed Description

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Prospective, comparative and double-blind study with patients aged 18-65 years admitted to bariatric surgery. Selected patients were given or not given venous tranexamic acid (TXA) during anesthesia induction (CG). Anesthesia and thromboprophylaxis protocols were similar between groups. For statistical analysis, χ2 and analysis of variance tests were performed using the SPSS 21.0 ® statistical program at a significance level of p \< 0.05.

Conditions

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Tranexamic Acid Adverse Reaction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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The effectiveness of Tranexamic acid use of sleeve gastrectomy

In this study, it was determined which treatment package would be received by opening the closed envelopes of patients who had at least one point or more bleeding during the operation and had hemostasis with clips. In the intervention group, at the end of the surgery, intravenous TXA (Transamine) 1000 mg dissolved in 100 mL 0.9% sodium chloride was administered intravenously within 10 minutes as a loading dose within the first 30 minutes. After the end of the loading dose, a maintenance dose of 120mg/hour TXA was infused in 500ml (60ml/hour) saline.

Group Type ACTIVE_COMPARATOR

Transamine 200mg iv

Intervention Type OTHER

In the intervention group, intravenous TXA (Transamine) 1000 mg dissolved in 100 mL 0.9% sodium chloride was administered intravenously within 10 minutes as a loading dose within the first 30 minutes at the end of the surgery. After the end of the loading dose, a maintenance dose of 120mg/hour TXA was infused in 500ml (60ml/hour) SF. The placebo group was given 100ml of saline in the first 30 minutes, followed by a maintenance dose of 60ml/hour of saline for 8 hours.

Plasebo grup

The placebo group was given 100ml of saline in the first 30 minutes, followed by a maintenance dose of 60ml/hour of saline for 8 hours.

Group Type PLACEBO_COMPARATOR

Transamine 200mg iv

Intervention Type OTHER

In the intervention group, intravenous TXA (Transamine) 1000 mg dissolved in 100 mL 0.9% sodium chloride was administered intravenously within 10 minutes as a loading dose within the first 30 minutes at the end of the surgery. After the end of the loading dose, a maintenance dose of 120mg/hour TXA was infused in 500ml (60ml/hour) SF. The placebo group was given 100ml of saline in the first 30 minutes, followed by a maintenance dose of 60ml/hour of saline for 8 hours.

Sham grup

Patients with no bleeding to be treated were not enveloped and were excluded from the intervention or placebo group.

Group Type ACTIVE_COMPARATOR

Transamine 200mg iv

Intervention Type OTHER

In the intervention group, intravenous TXA (Transamine) 1000 mg dissolved in 100 mL 0.9% sodium chloride was administered intravenously within 10 minutes as a loading dose within the first 30 minutes at the end of the surgery. After the end of the loading dose, a maintenance dose of 120mg/hour TXA was infused in 500ml (60ml/hour) SF. The placebo group was given 100ml of saline in the first 30 minutes, followed by a maintenance dose of 60ml/hour of saline for 8 hours.

Interventions

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Transamine 200mg iv

In the intervention group, intravenous TXA (Transamine) 1000 mg dissolved in 100 mL 0.9% sodium chloride was administered intravenously within 10 minutes as a loading dose within the first 30 minutes at the end of the surgery. After the end of the loading dose, a maintenance dose of 120mg/hour TXA was infused in 500ml (60ml/hour) SF. The placebo group was given 100ml of saline in the first 30 minutes, followed by a maintenance dose of 60ml/hour of saline for 8 hours.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients aged 18 to 65 years with an American Association of Anesthesiologists (ASA) physical condition score II or III
* undergoing bariatric surgery and LSG

Exclusion Criteria

* history of thromboembolic disease or severe comorbidity (ASA IV or more)
* platelet antiaggregants or anticoagulants
* active intravascular coagulation carriers
* acute occlusive vasculopathy
* hypersensitivity to the components of the TXA formula.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Goztepe Prof Dr Suleyman Yalcın City Hospital

OTHER

Sponsor Role lead

Responsible Party

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Medeni Şermet

Specialist Medical doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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medeni şermet, 1

Role: PRINCIPAL_INVESTIGATOR

Goztepe Prof Dr Suleyman Yalcın City Hospital

Locations

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Göztepe Prof. Dr. Suleyman Yalcin City Hospital

Kadıköy, Istanbul, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Sermet M, Ozsoy MS. Effect of Tranexamic Acid on Postoperative Bleeding in Sleeve Gastrectomy: a Randomized Trial. Obes Surg. 2023 Dec;33(12):3962-3970. doi: 10.1007/s11695-023-06902-x. Epub 2023 Oct 19.

Reference Type DERIVED
PMID: 37857939 (View on PubMed)

Other Identifiers

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Bnk723

Identifier Type: -

Identifier Source: org_study_id

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