Braun Enteroenterostomy for Reconstruction after Pylorus-resecting Pancreaticoduodenectomy (BERP) trial
- Conditions
- Surgery - Surgical techniquesPancreatic CancerCancer - PancreaticOral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
- Registration Number
- ACTRN12622000048785
- Lead Sponsor
- John Hunter Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 102
Any adult patient undergoing pancreaticoduodenectomy with planned antecolic Billroth II style reconstruction in the setting of malignancy
-Planned open or minimally invasive approach
-Participant able to provide informed consent
-Planned Roux-en-Y reconstruction
-Pancreatico-gastrostomy
-Age <18years
-Previous diagnosis of gastroparesis
-Known pre-operative HbA1c >7.5%
-Benign pathologies
-Redo surgery
-Participants in another trial that might alter the outcome measures of this trial
-Those who have previously had major upper gastrointestinal procedures
-Inability to provide informed consent or expected lack of compliance with the post-operative regime
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method delayed gastric emptying <br>DGE is defined with 3 different grades by the ISGPS.1<br>-Grade A – Nasogastric intubation lasting more than 3 postoperative days, or the inability to tolerate a solid diet by post-operative day 7<br>-Grade B – Nasogastric intubation lasting for 8 to 14 days, the need for reinsertion of the nasogastric tube after 7 days, or the inability to tolerate a solid diet by post-operative day 14<br>-Grade C – Nasogastric intubation lasting more than 14 days, the need for nasogastric reinsertion after 14 days, or the inability to tolerate a solid diet by postoperative day 21. <br>This will be assessed independently by the research team. <br>[Day of surgery, day 1, 8, 15, 22, 30 and day 90 post operation]
- Secondary Outcome Measures
Name Time Method