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Role of Routine Nasogastric Decompression After Subtotal Gastrectomy

This study is currently recruiting participants.
Study NCT00164918.   Last updated on September 12, 2005.   Information provided by Chinese University of Hong Kong

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Descriptive Information Fields
Brief Title  Role of Routine Nasogastric Decompression After Subtotal Gastrectomy
Official Title  Role of Routine Nasogastric Decompression After Subtotal Gastrectomy
Brief Summary

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.

Detailed Description

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.

Study Phase Phase III
Study Type  Interventional
Study Design  Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Primary Outcome Measure  Bowel function and related symptoms early post-op
Secondary Outcome Measure 
Condition  Cancer of Stomach
Intervention  Device: nasogastric tube
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  90
Start Date  September 2004
Completion Date
Eligibility Criteria 

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
Gender Both
Ages 18 Weeks and older
Accepts Healthy Volunteers No
Contacts ††
Contact: Enders K. W. Ng, MD     85226322627     endersng@surgery.cuhk.edu.hk    
Contact: Man Yee Yung, BN     85226322956     myyung@surgery.cuhk.edu.hk    
Location Countries  China
Administrative Information Fields
NCT ID  NCT00164918
Organization ID CRE-2004.311
Secondary IDs ††
Study Sponsor  Chinese University of Hong Kong
Collaborators ††
Investigators 
Principal Investigator:     Enders K.W. Ng, MD     Chinese University of Hong Kong    
Information Provided By Chinese University of Hong Kong
Verification Date September 2005
First Received Date  September 12, 2005
Last Updated Date September 12, 2005

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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