Prospective Cohort Study for Analyzing the Effect of Gastric Cancer Surgery to the Metabolic Syndrome and Insulin Resistance
- Conditions
- Gastric Cancer With Metabolic Syndrome or Metabolic Disease
- Interventions
- Procedure: subtotal gastrectomy with gastroduodenostomyProcedure: subtotal gastrectomy with Roux-en-Y gastrojejunostomy,Procedure: total gastrectomy with Rou-en-Y esophagojejunostomy
- Registration Number
- NCT01714622
- Lead Sponsor
- Yonsei University
- Brief Summary
Gastric cancer is still one of the most common malignance in Korea. Because of the popularity of regular check ups, early detection of gastric cancer has increased, consequently, the survival of the patients also has increased. In this reason, the interest of outcomes after gastrectomy for gastric cancer move survival only to quality of life of these patients.
Although the definition of metabolic syndrome is various, but it is normally accepted as a state that insulin resistance or glucose intolerance combined with hypertension or hyperlipidemia or obesity. Metabolic syndrome is a worldwide health problem, and the treatment is modification of life style, weight loss and medication. However, in most of the patients metabolic syndrome is considered not curable disease. Recent studies have shown that some bariatric surgery offers not only control the overweight but also metabolic syndrome. The exact mechanism is still unknown but decreased gastric volume and intestinal bypass itself seemed to play an important role to improve metabolic syndrome over just decreased weight.
For treating gastric cancer, gastrectomy is essential and the extent of gastrectomy is varied subtotal and total gastrectomy according to the location of tumor. Also, reconstruction type is varied gastroduodenostomy and Roux-en-Y gastrojejunostomy after subtotal gastrectomy, esophagojejunostomy after total gastrectomy. This kind of operation for gastric cancer lead decreased gastric volume and/or intestinal bypass, which means this operation could lead similar effect of bariatric surgery. Already, there have been several retrospective reports that metabolic syndrome or diabetes was improved after gastrectomy for gastric cancer but no prospective study about this subject yet in Korea.
The purpose of this study is that evaluating the degree of improvement of metabolic syndrome after gastrectomy for gastric cancer, and analyze the differences between the type of operation.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- gastric cancer,
- in plan for gastrectomy for gastric cancer
- ages between 20 to 85 years old
- assign in consent
- vulnerable subject (pregnant, be devoid of mental capacity, soldiers, or medical students)
- had low performance scale due to severe cardiovascular disease.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description metabolic syndrome subtotal gastrectomy with gastroduodenostomy gastric cancer patients with metabolic syndrome metabolic syndrome subtotal gastrectomy with Roux-en-Y gastrojejunostomy, gastric cancer patients with metabolic syndrome metabolic syndrome total gastrectomy with Rou-en-Y esophagojejunostomy gastric cancer patients with metabolic syndrome metabolic disease subtotal gastrectomy with gastroduodenostomy gastric cancer patients with metabolic disease metabolic disease total gastrectomy with Rou-en-Y esophagojejunostomy gastric cancer patients with metabolic disease normal subtotal gastrectomy with Roux-en-Y gastrojejunostomy, gastric cancer patients without metabolic syndrome or metabolic disease normal total gastrectomy with Rou-en-Y esophagojejunostomy gastric cancer patients without metabolic syndrome or metabolic disease metabolic disease subtotal gastrectomy with Roux-en-Y gastrojejunostomy, gastric cancer patients with metabolic disease normal subtotal gastrectomy with gastroduodenostomy gastric cancer patients without metabolic syndrome or metabolic disease
- Primary Outcome Measures
Name Time Method the changes of metabolic syndrome baseline to postoperative 3 month, and there after every 6 months until 24 months after the gastrectomy
- Secondary Outcome Measures
Name Time Method the changes of insulin resistance after gastrectomy baseline to postoperative 3 month, and there after every 6 months until 24 months after the gastrectomy
Trial Locations
- Locations (3)
Department of Surgery, Yonsei University Colleage of Medicine,
🇰🇷Seoul, Korea, Republic of
Sevrance hospital, Department of General surgery
🇰🇷Seoul, Korea, Republic of
Ji Yeong An
🇰🇷Seoul, Korea, Republic of