The effects of a laparoscopically inserted feeding tube in the intestine in persons who have had completely blocked food pipe

Completed

• Conditions: Other specified diseases of esophagus,

• Registration Number: CTRI/2023/01/048969
• Lead Sponsor: AIIMS NEW DELHI

Brief Summary

Accordingto Mastoridis et al.’s (2021) retrospective study, laparoscopic feedingjejunostomy is a feasible and safe procedure that provides the benefits ofminimally invasive surgery. Since the first reported totally laparoscopicfeeding jejunostomy, several techniques for laparoscopic feeding jejunostomyhave been described. Most of them used costly commercial kits and complexsuturing techniques. However, there is no standard technique proposed for thecreation of laparoscopic FJ. Thus, there is a need to simplify this techniquein a way that reduces the learning curve and makes it cost-effective withoutincreasing complications.

1. Mastoridis S, Bracalente G, Hanganu CB, et al.Laparoscopic vs. open feeding jejunostomy insertion in oesophagogastric cancer.BMC Surg. 2021 Oct 13;21(1):367

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2023-01-06
• Study Start: 2023-01-16

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• 1.18 to 70 years of age, both male and female 2.
• Indications for feeding jejunostomy a) corrosive oesophageal injury b) upper gastrointestinal malignancies (Ca. Esophagus, Ca stomach, Ca head ofpancreas, Ca duodenum): • Obstructed inoperable or metastatic • Locally advanced (planned for neoadjuvant chemotherapy): staging laparoscopy • Nutritional conditioning required prior to curative procedure.

Exclusion Criteria

• Age < 18 years and > 70 Years 2.
• Pregnancy 3.
• Refusal to consent or participate in the study 4.
• It is possible to insert nasogastric tube (or orogastric) tube either blind bedside orendoscopic guided technique.
• Prior abdominal surgery 6.
• Undergone PEG or feeding jejunostomy in the past 7.
• Active Inflammatory bowel disease 8.
• Hypotension (blood pressure < 90/60 mmHg).

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To determine the technical feasibility and safety of Laparoscopic feeding jejunostomy	Immediately after completion of surgery to 7 days

Secondary Outcome Measures

Name	Time	Method
1. Total operative time	2. Haematoma and Intra-operative blood loss

Trial Locations

Locations (1)

AIIMS Delhi; 🇮🇳 South, DELHI, India

AIIMS Delhi

🇮🇳South, DELHI, India

Manjunath Maruti Pol

Principal investigator

9990187137

manjunath.pol123@gmail.com