Unique ID issued by UMIN | UMIN000038698 |
---|---|
Receipt number | R000044119 |
Scientific Title | Esophageal dilation and percutaneous endoscopic gastrostomy: RCT study between intravenous sedation vs general anesthesia |
Date of disclosure of the study information | 2019/11/27 |
Last modified on | 2019/11/27 16:03:56 |
Esophageal dilation and percutaneous endoscopic gastrostomy: RCT study between intravenous sedation vs general anesthesia
Esophageal dilation and percutaneous endoscopic gastrostomy: RCT study between intravenous sedation vs general anesthesia
Esophageal dilation and percutaneous endoscopic gastrostomy: RCT study between intravenous sedation vs general anesthesia
Esophageal dilation and percutaneous endoscopic gastrostomy: RCT study between intravenous sedation vs general anesthesia
Asia(except Japan) |
esophageal cancer
Gastrointestinal surgery |
Malignancy
NO
Most of esophageal cancer patients have dysphagia and weight loss from tumor obstruction. The NCCN guidelines suggest percutaneous endoscopic gastrostomy (PEG) feeding before neoadjuvant or definitive chemoradiotherapy.1 Previously, general anesthesia is used for most patients who undergo esophageal dilation (with Savary-Gilliard dilators) and percutaneous endoscopic gastrostomy in esophageal cancer. Recently, intravenous sedation with local anesthesia is accepted as another option. In Songklanagarind Hospital, we have performed both techniques up to surgeon preference. However, no study was compared between both techniques. We wanted to determine whether these procedures could be performed with similar results and cost under intravenous sedation with local anesthesia versus general anesthesia.
Efficacy
Total procedure time (from the time patient arrived in the operating room to the time the patient left) and actual procedure time (from endoscopy to wound closure) are recorded. Patients are reevaluated at 24 hours, 2 weeks, and 30 days after the procedure for postoperative complications and outcomes. Length of hospitalization after the procedure is also recorded. These charges are converted to cost and then analyzed. We only calculate the cost for the procedure and not that for total hospitalization. The cost is analyzed from the perspective of the hospital.
The cost is analyzed from the perspective of the hospital.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is considered as a block.
NO
No need to know
2
Treatment
Maneuver |
GA
IV
20 | years-old | < |
99 | years-old | >= |
Male and Female
esophageal cancer
benign disease
50
1st name | Somkiat |
Middle name | |
Last name | Sunpaweravong |
Department of Surgery, Faculty of Medicine, Prince of Sonkla university
general surgery
90110
Hat Yai, Songkhla, Thailand
66869663780
susomkia@medicine.psu.ac.th
1st name | Somkiat |
Middle name | |
Last name | Sunpaweravong |
Department of Surgery, Faculty of Medicine, Prince of Sonkla university
general surgery
90110
Hat Yai, Songkhla, Thailand
66869663780
susomkia@medicine.psu.ac.th
Faculty of Medicine, Prince of Sonkla university
Faculty of Medicine, Prince of Sonkla university
Government offices of other countries
Faculty of Medicine, Prince of Sonkla university
Hat Yai, Songkhla, Thailand
6674455000
medpsu.ec@gmail.com
NO
2019 | Year | 11 | Month | 27 | Day |
Unpublished
Enrolling by invitation
2019 | Year | 02 | Month | 28 | Day |
2019 | Year | 02 | Month | 28 | Day |
2019 | Year | 02 | Month | 28 | Day |
2021 | Year | 01 | Month | 01 | Day |
2019 | Year | 11 | Month | 27 | Day |
2019 | Year | 11 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044119