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Role of Routine Nasogastric Decompression After Subtotal Gastrectomy
This study is currently recruiting participants.
Study NCT00164918   Information provided by Chinese University of Hong Kong
First Received: September 12, 2005   No Changes Posted

September 12, 2005
September 12, 2005
September 2004
 
Bowel function and related symptoms early post-op
Same as current
No Changes Posted
 
 
 
Role of Routine Nasogastric Decompression After Subtotal Gastrectomy
Role of Routine Nasogastric Decompression After Subtotal Gastrectomy

The aim of the study is to evaluate whether subtotal gastrectomy without post-operative nasogastric decompression is better in terms of early post-operative bowel function and chest complication.

Nasogastric decompression is an intra-operative routine in most of the time to facilitate exposure of operative field during elective subtotal gastrectomy, but whether it should be retained post-operatively is controversial. Nasogastric decompression helps to drain the gastric remnant in case there is edema around the gastrojejunostomy, ileus and delayed gastric emptying, which can theoretically relieve nausea and abdominal distension. Besides, it may help decrease diaphragmatic splintage and hence decrease chance of chest infection if ileus occurs. However, nasogastric intubation could cause patient discomfort; also it has been shown that it would cause gastroesophageal reflux which may be associated with chest complication. There have been studies showing that routine post-operative nasogastric decompression is not necessary for gastrectomy in general, but the role in subtotal gastrectomy for stomach cancer is not well defined.

Phase III
Interventional
Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Cancer of Stomach
Device: nasogastric tube
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
90
 
 

Inclusion Criteria:All patients suffering from carcinoma of stomach, decided for operation

  • subtotal, D1/D2 dissection
  • palliative resection

Exclusion Criteria:

  • actively bleeding tumor
  • perforation of tumor
  • patient present with gastric outlet obstruction
  • combine organ excision
  • known diabetes with nephropathy
Both
18 Weeks and older
No
Contact: Enders K. W. Ng, MD 85226322627 endersng@surgery.cuhk.edu.hk
Contact: Man Yee Yung, BN 85226322956 myyung@surgery.cuhk.edu.hk
China
 
NCT00164918
 
CRE-2004.311
Chinese University of Hong Kong
 
Principal Investigator: Enders K.W. Ng, MD Chinese University of Hong Kong
Chinese University of Hong Kong
September 2005

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP