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临床试验/NCT01892267
NCT01892267终止2 期

Comparison Outcomes and Complications of Self-Propelled vs. Standard Percutaneous Endoscopic Gastrojejunostomy (PEG-J); a Randomized Single Blind Clinical Trial

Johns Hopkins University2 个研究点 分布在 1 个国家目标入组 19 人开始时间: 2013年9月6日最近更新:
适应症

试验速览

阶段
2 期
状态
终止
入组人数
19
试验地点
2
主要终点
Number of Participants With PEG-J Tube Migration

研究概览

简要总结

Our main hypothesis is that self-propelled Percutaneous Endoscopic Gastrojejunostomy tube (PEG-J) that has a balloon on it's tip is associated with lower J-tube retrograde migration rate, and lower rates of short- and long-term complications when compared to standard PEGJ feeding tubes.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
Single (Participant)

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Consecutive adult patients (18-80 years of age) with need for post-pyloric feeding (patients unable to eat due to stroke, intubated patients with respiratory failure, patients with acute pancreatitis, etc).
  • Ability to give informed consent.

排除标准

  • Unable to give informed consent
  • Pregnant or breastfeeding women (all women of child-bearing age will undergo urine pregnancy testing)
  • Acute gastrointestinal bleeding
  • Coagulopathy defined by prothrombin time < 50% of control; PTT > 50 sec, or INR > 1.5), on chronic anticoagulation, or platelet count <50,000
  • Inability to tolerate sedated upper endoscopy due to cardio-pulmonary instability or other contraindication to endoscopy
  • Cirrhosis with portal hypertension, varices, and/or ascites
  • Allergy to egg

结局指标

主要结局

Number of Participants With PEG-J Tube Migration

时间窗: From date of placement up to 4 weeks

Number of participants in whom migration was assessed by X-ray at 4 weeks post-intervention.

次要结局

  • Patency of Feeding Tube(2 years)
  • Technical Success(Intra-procedural)
  • Intervention Time(Intra-procedural)
  • Time to Repeat Endoscopy for Tube Replacement(2 years)
  • Long-term Complications(2 years)
  • Repeat Endoscopy for Feeding Tube Placement Due to Retrograde Tube Migration(4 weeks)
  • Difficulty of the Procedure(Inra-procedural)
  • Gastrointestinal Quality of Life Index (GIQLI) Score(3 month)
  • Short-term Complications(One week)
  • Direct Cost(2 years)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Mouen Khashab

Assistant Professor of Medicine; Director of Therapeutic Endoscopy

Johns Hopkins University

研究点 (2)

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