Billroth II With Braun Anastomosis After Radical Distal Gastrectomy for Gastric Cancer
- Conditions
- AnastomosisGastric CancerSurgeryGastrostomy
- Interventions
- Procedure: Billroth II reconstructionProcedure: Braun Anastomosis
- Registration Number
- NCT06229197
- Lead Sponsor
- Sichuan University
- Brief Summary
The primary aim of this trial is to rigorously evaluate the comparative benefits and potential risks associated with Billroth II reconstruction with Braun anastomosis versus Billroth II reconstruction alone following distal gastrectomy with D2 lymphadenectomy in patients diagnosed with gastric cancer. This assessment focuses on delineating the therapeutic efficacy, safety profile, and overall clinical outcomes of these two surgical approaches in treating this condition.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 176
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Billroth II with Braun Reconstruction Billroth II reconstruction - Billroth II Reconstruction Billroth II reconstruction - Billroth II with Braun Reconstruction Braun Anastomosis -
- Primary Outcome Measures
Name Time Method Incidence of reflux gastritis assessed according to RGB classification 6 months, 12 months by endoscopic evaluation
- Secondary Outcome Measures
Name Time Method Quality of life assessed by the PGSAS-45 Scale 6 months, 12 months The preoperative and postoperative QoL of patients between the two groups.
Nutritional status 6 months, 12 months Changes in body weight (kg) or BMI from baseline
Time to first passage of flatus/stool within 30 days after surgery Time taken to pass first stool or flatus
Postoperative complications (assessed according to the Clavien-Dindo) within 30 days after surgery e.g., anastomotic leakage, anastomotic bleeding assessed by laboratory test in combination with clinical features, radiological diagnostic methods, endoscopy, diagnostic laparoscopy.
Long-term complications 6 months, 12 months e.g., food residue and bile reflux (assessed according to the RGB classification).