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Benefit of Roux-en-Y (R-Y) Reconstruction After Pancreaticoduodenectomy

Not Applicable
Conditions
Pancreatic Cancer
Interventions
Procedure: R-Y reconstruction
Registration Number
NCT00906802
Lead Sponsor
Kochi University
Brief Summary

One of the most common complications of pancreaticoduodenectomy (PD) is delayed gastric emptying (DGE), otherwise known as "gastroparesis," which is not fatal but results in prolonged hospital stay and increased hospital costs. Delayed gastric emptying is defined as nasogastric decompression after postoperative day (POD) 10 or a failure to tolerate a regular diet after POD 14. The incidence of DGE has been reported to range from 5% to 72%.

Detailed Description

We hypothesized that the hand-sewn, two-layered, or continuous suture, could induce anastomotic edema to indeed the afferent peristalsis, which is one of the causes of DGE.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • These patients were to undergo elective pancreatic head resection for the treatment of periampullary mass
Exclusion Criteria
  • A body weight loss greater than 10% during the six months prior to surgery
  • The presence of distant metastases
  • Seriously impaired function of vital organs due to respiratory, renal or heart disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
R-Y reconstructionR-Y reconstructionthe reconstruction was performed by R-Y anastomosis
Primary Outcome Measures
NameTimeMethod
the incidence of DGE3-6 months
Secondary Outcome Measures
NameTimeMethod
the incidence of other complication associated with reconstruction3-6 months

Trial Locations

Locations (1)

Kochi Medical School

🇯🇵

Nankoku, Kochi, Japan

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