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Endoscopic Stenting versus conservative treatment of esophago-enteric anastomotic leakages

Phase 3
Recruiting
Conditions
C15
C16
Malignant neoplasm of oesophagus
Malignant neoplasm of stomach
Registration Number
DRKS00007941
Lead Sponsor
niversitätsklinikum Hamburg-Eppendorf
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
78
Inclusion Criteria

1. Histological confirmed esophageal or gastric cancer or a similar surgically treated malignancy (e.g. GIST) 2.Esophagectomy or gastrectomy with an intrathiracic or intraabdominal esophago-enteric anastomosis 3.Radiologically or endoscopically verified leakage 4.Clinical symptoms or elevated inflammatory lab results due to the leakage 5.Age over 18 years 6.Ability to understand and willingness to consent to formal requirements for study participation 7.Written informed consent

Exclusion Criteria

1. Macroscopical incomplete resection(R2) 2.Endoscopically verified conduit necrosis 3.Leakage size over 2/3 of circumference4.Early leakage (<48 hours after surgery) 5. Pregnant or breast-feeding women

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Rate of leakage healing (radiologically or endoscopical confirmed) or hospital discharge on day 44 after primary surgery
Secondary Outcome Measures
NameTimeMethod
1. Hospitalization 2. Rate of treatment failure 3. Rate of a need of surgical revision and its kind 4. Complications 5.Mortality 6.ICU-time 7.SOFA-Score 8.Artificial ventilation time 9.Quality of life 10.Duration of leakage therapy 11.Time until endoscopical verified healing 12.Time until perusal nutrition 13. Direct costs 14. Symptomatic stenosis rate after 1 year
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