Gastric Emptying After Infracolic or Supracolic Gastrojejunostomy Following Pancreaticoduodenectomy
Patients undergoing whipples pancreaticoduodenectomy tend to develop delayed gastric emptying.
The study compares two types of anastamosis of stomach to jejunum (supracolic and infracolic) and compares whether it influences the gastric emptying.
The clinical evidence of delayed gastric emptying is correlated with objective evidence of liquid and solid emptying by radionuclide study.
The study also tries to evaluate whether pancreatic leak correlates with delayed gastric emptying
|Postprocedural Gastric Stasis||Procedure: Infracolic gastrojejunal anastamosis Procedure: Supracolic gastrojejunal anastamosis|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
|Official Title:||Randomized Control Trial Comparing Gastric Emptying Following Infracolic vs Supracolic Gastrojejunostomy After Whipples Pancreaticoduodenectomy|
- Gastric Emptying assessed clinically and correlated objectively with liquid and solid emptying of radionucleotide [ Time Frame: 30 days after surgery ]Gastric emptying in the postoperative period in the form of tolerence of food and removal of ryles tube is assessed. This is correlated with liquid and solid emptying of radionucleotide
- Correlation of pancreatic duct leak with gastric emptying [ Time Frame: 30 days after surgery ]The pancreatic duct leak is correlated with gastric emptying
|Study Start Date:||January 2009|
|Study Completion Date:||March 2012|
|Primary Completion Date:||February 2012 (Final data collection date for primary outcome measure)|
The gastrojejunal anastamosis is done in the infracolic compartment
Procedure: Infracolic gastrojejunal anastamosis
Following resection in whipples pancreaticoduodenectomy, the gastrojejunal anastamosis is done in the infracolic compartment by bringing down the stomach below the mesocolon to the left of the middle colic artery
Other Name: Infracolic and retrocolic Gastrojejunostomy
The gastrojejunal anastamosis is done in the supracolic compartment
Procedure: Supracolic gastrojejunal anastamosis
Following resection in whipples pancreaticoduodenectomy, the gastrojejunal anastamosis is done in the supracolic compartment.
Other Name: Supracolic and retrocolic gastrojejunostomy
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01191138
|Asian Institute Of Gastroenterology India|
|Hyderabad, Andhra Pradesh, India, 500082|
|Principal Investigator:||Pradeep Rebala, MS., M Ch||Asian Institute of Gastroenterology|