CTRI/2022/11/047173
Recruiting
Phase 3
Endoscopic ultrasound guided gastrojejunostomy versus laparoscopic gastrojejunostomy for palliative management of malignant gastric outlet obstruction: a randomized controlled trial
Dr Jayanta Samanta0 sites0 target enrollmentTBD
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Health Condition 1: C269- Malignant neoplasm of ill-definedsites within the digestive system
- Sponsor
- Dr Jayanta Samanta
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\.Patients \= 18 years of age with malignant symptomatic gastric outlet obstruction (GOO) requiring intervention with an unresectable malignant lesion (biopsy proven) or borderline/ locally advanced planned for neo\-adjuvant therapy prior to surgery.
- •2\.GOO confirmed endoscopically or radiologically.
- •3\.GOOS (gastric outlet obstruction score) 0 (no oral intake) or 1 (only liquids).
- •4\.The patient who gives informed consent for participation in the study.
Exclusion Criteria
- •1\.Lack of informed consent
- •2\.Pregnancy
- •3\.Coagulation disorder (INR \>1\.5 or platelet count \<50000/ul)
- •4\.Multiple level bowel obstruction confirmed radiologically (contrast study or computed tomography scans)
- •5\.Prior endoscopic or surgical treatment for GOO.
- •6\.Severe comorbidities precluding endoscopic treatment (cardiorespiratory instability, severe pulmonary disease, bleeding disorder)
- •7\.Previous gastric, periampullary or duodenal surgery
- •8\.Complete GOO evidenced by inability to either pass a wire/nasojejunal tube across the stricture and/or inability to opacify small bowel distal to the malignant stricture
- •9\.Malignant conditions involving the stomach such as Linitis plastica, malignancy of the proximal stomach etc.
- •10\.Life expectancy of less than 1 month
Outcomes
Primary Outcomes
Not specified
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