Benefit of Roux-en-Y (R-Y) Reconstruction After Pancreaticoduodenectomy
- 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
- These patients were to undergo elective pancreatic head resection for the treatment of periampullary mass
- 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
Group Intervention Description R-Y reconstruction R-Y reconstruction the reconstruction was performed by R-Y anastomosis
- Primary Outcome Measures
Name Time Method the incidence of DGE 3-6 months
- Secondary Outcome Measures
Name Time Method the incidence of other complication associated with reconstruction 3-6 months
Trial Locations
- Locations (1)
Kochi Medical School
🇯🇵Nankoku, Kochi, Japan