Gastroduodenal Intussusception: Two Cases of Gastroduodenal Intussusception Following Gastric Plication, Each Managed with a Different Approach.

NCT ID: NCT06667284

Last Updated: 2024-11-04

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-31

Study Completion Date

2025-01-15

Brief Summary

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The investigators received two female patients in the hospital who developed gastroduodenal intussusception following gastric plication procedure, requiring surgical treatment. Both patients presented with non-specific, atypical abdominal pain several months after the gastric plication. Both patients required surgical intervention, which included manual reduction of the plication followed by subtotal gastrectomy en bloc with Roux-en-Y reconstruction. In the second case, an Omega Brown anastomosis was performed, and a jejunostomy was created after the anastomosis in both patients.

Detailed Description

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Conditions

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Bariatric Surgery Intussusception

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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Group a

Roux en y procedure

Group Type ACTIVE_COMPARATOR

Roux en y procedure

Intervention Type PROCEDURE

subtotal gastrectomy en bloc with Roux-en-Y reconstruction, using TA 90 and GIA staplers. The length of the biliopancreatic limb was 50 cm, while the alimentary limb was 80 cm

Group b

Omega Brown anastomosis

Group Type ACTIVE_COMPARATOR

Omega brown procedure

Intervention Type PROCEDURE

Gastrojejunal anastomosis with jejunojejunal anastomosis

Interventions

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Roux en y procedure

subtotal gastrectomy en bloc with Roux-en-Y reconstruction, using TA 90 and GIA staplers. The length of the biliopancreatic limb was 50 cm, while the alimentary limb was 80 cm

Intervention Type PROCEDURE

Omega brown procedure

Gastrojejunal anastomosis with jejunojejunal anastomosis

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

\- Patients with gastro-duodenal intussusception following a gastric plication procedure.

Exclusion Criteria

* children
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Damascus University

OTHER

Sponsor Role collaborator

Ibn Al Nafees Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Yamen Madi

General surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Yamen Madi, MD

Role: CONTACT

4915731165547

References

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Coco D, Leanza S, Fiume I. Small bowel obstruction: a prognostic score index for surgery - a review. Prz Gastroenterol. 2022;17(3):177-182. doi: 10.5114/pg.2022.118454. Epub 2022 Aug 3.

Reference Type BACKGROUND
PMID: 36127935 (View on PubMed)

Other Identifiers

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Gastroduodenal intussuception

Identifier Type: -

Identifier Source: org_study_id

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