Clinical Trials Logo

Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06062225
Other study ID # 2020TD27
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date October 2023
Est. completion date October 2026

Study information

Verified date September 2023
Source Changzhi People's Hospital Affiliated to Changzhi Medical College
Contact Dr.Hu
Phone +8613509754125
Email beibeihejiyy@163.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The efficacy of three different reconstruction methods after proximal gastrectomy will be investigated in this study through a prospective, multicenter, randomized controlled trial.


Description:

In the trial, 180 patients with proximal early gastric cancer will be enrolled and then randomly assigned to one of three groups: Group A (Kamikawa, n = 60), Group B (single-tract jejunal interposition, n = 60), or Group C (SOFY reconstruction, n = 60). The general information, past medical history, laboratory and imaging findings, and surgical procedures of each patient will be recorded. Patients in Group A, Group B and Group C will receive Kamikaze reconstruction, single-tract jejunal interposition reconstruction and SOFY reconstruction respectively after standard proximal gastrectomy and lymph nodes dissection. The primary endpoint will be the incidence of reflux esophagitis, while the incidence of anastomotic leakage, anastomotic stenosis, operative time, and intraoperative blood loss will be secondary endpoints to compare the efficacy of these three reconstruction methods after proximal gastrectomy.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 180
Est. completion date October 2026
Est. primary completion date December 2025
Accepts healthy volunteers No
Gender All
Age group 20 Years to 75 Years
Eligibility Inclusion Criteria: - Age between 20-75 years old, male or female; - Pathological diagnosis of preoperative endoscopic biopsy: the tumor is located in the upper 1/3 of the stomach (including the esophagogastric junction), and the clinical staging of gastric cancer: Ia and Ib (T1N0M0, T1N1M0, and T2N0M0) (14) according to the eighth edition of the AJCC (15); - No distant metastasis observed on preoperative chest radiograph, abdominal ultrasound or upper abdominal CT; - ASA grade 1-3; - Patients without contraindications to surgery; - Patients and their families voluntarily signing the informed consent form and participating in the study; Exclusion Criteria: - Patients diagnosed with primary tumors or distant metastasis; - Patients whose tumor is located in the greater curvature side of the stomach; - Patients with coagulation dysfunction which could not be corrected; - Patients who were diagnosed with viral hepatitis and cirrhosis; - Patients who were diagnosed with diabetes mellitus, uncontrolled or controlled with insulin; - Patients with organ failure such as heart, lung, liver, brain, kidney failure; - Patients with ascites or cachexia preoperatively in poor general conditions; - Patients diagnosed with immunodeficiency, immunosuppression or autoimmune diseases (such as allogeneic bone marrow transplant, immunosuppressive drugs, SLE, etc.). - Patients refusing to sign the informed consent of the study;

Study Design


Intervention

Procedure:
Kamikawa
Kamikawa reconstruction after proximal gastrectomy
STJI
Single-Tract Jejunal Interposition(STJI) reconstruction after proximal gastrectomy
SOFY
SOFY reconstruction after proximal gastrectomy

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Changzhi People's Hospital Affiliated to Changzhi Medical College

Outcome

Type Measure Description Time frame Safety issue
Primary incidence of reflux esophagitis The percentage (%) of patients developing postoperative reflux esophagitis after surgery in each group. 24 months after surgery
Secondary incidence of anastomotic leakage The percentage (%) of patients developing postoperative anastomotic leakage after surgery in each group. 14 days after surgery
Secondary incidence of anastomotic stenosis The percentage (%) of patients developing anastomotic stenosis after surgery in each group. 24 months after surgery
Secondary operative time The duration, measured in minutes, spent on reconstructing the digestive tract using specific method (Kamikawa, STJI or SOFY) following proximal gastrectomy. 1 day after surgery
Secondary intraoperative blood loss The amount of blood, measured in milliliters, lost during the reconstruction of digestive tract using specific method (Kamikawa, STJI or SOFY) following proximal gastrectomy. 1 day after surgery
See also
  Status Clinical Trial Phase
Recruiting NCT03181620 - Sedation Administration Timing: Intermittent Dosing Reduces Time to Extubation N/A
Recruiting NCT04205058 - Coffee After Pancreatic Surgery N/A
Completed NCT06425601 - A Comparison of Silicone Versus Polyvinylchloride (PVC) Drains Following VATS Lobectomy N/A
Completed NCT02565420 - Saline Versus Lactated Ringer's Solution: The SOLAR Fluid Trial N/A
Recruiting NCT04519593 - ABSOLUTELY: A Temporary Uterine Blood Supply Occlusion for Laparoscopic Myomectomy in Patients With UTErine LeiomYoma N/A
Completed NCT03662672 - Rib Raising for Post-operative Ileus N/A
Completed NCT03787849 - Epigenetics in PostOperative Pediatric Emergence Delirium N/A
Active, not recruiting NCT05886387 - a Bayesian Analysis of Three Randomised Clinical Trials of Intraoperative Ventilation
Not yet recruiting NCT06351475 - Efficacy of Intraoperative Use of 20% Albumin Combined With Ringer Lactate Versus Ringer Lactate During Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy N/A
Not yet recruiting NCT05052021 - The South African Coronavirus Disease of 2019 (COVID-19) Surgical Outcomes Study
Not yet recruiting NCT03591432 - A Trial Comparing Transnasal humidified Rapid insufflation Ventilatory Exchange (THRIVE) and Apneic Oxygenation With Facemask Ventilation in Elderly Patients Undergoing Induction of Anaesthesia. N/A
Not yet recruiting NCT03639012 - Outcomes of Carbohydrate Loading Paediatric Patients Preoperatively for Tonsillectomy and Adenoidectomy N/A
Not yet recruiting NCT03275324 - Use of Integrated Pulmonary Index to Predict Post-Operative Respiratory Adverse Events in High Risk Patients N/A
Recruiting NCT02763878 - Uncut Roux-en-y Anastomosis Reduce Postoperative Complication and Improve Nutritional Status After Distal Gastrectomy Phase 3
Completed NCT02947789 - Predictive Model for Postoperative Mortality N/A
Completed NCT02891187 - Visits Versus Telephone Calls for Postoperative Care N/A
Completed NCT02766062 - Effects of Propofol and Sevoflurane on Early POCD in Elderly Patients With Metabolic Syndrome N/A
Not yet recruiting NCT02542423 - Endocan Predictive Value in Postcardiac Surgery Acute Respiratory Failure. N/A
Recruiting NCT01934049 - Postoperative Recovery in Elderly Patients Undergoing Hip Hemi-arthroplasty Phase 4
Enrolling by invitation NCT01744938 - Preoperative Biliary Drainage for the Lower Malignant Obstructive Jaundice Phase 3