Unique ID issued by UMIN | UMIN000046950 |
---|---|
Receipt number | R000053572 |
Scientific Title | A Randomized Controlled Phase II Clinical Trial of Reconstruction method for the Elderly patients with gastric cancer after Distal Gastrectomy; Billroth-II Versus Roux-en-Y reconstruction |
Date of disclosure of the study information | 2022/03/01 |
Last modified on | 2024/08/23 13:09:28 |
A Randomized Controlled Phase II Clinical Trial of Reconstruction method for the Elderly patients with gastric cancer after Distal Gastrectomy; Billroth-II Versus Roux-en-Y reconstruction
A Randomized Controlled Phase II Clinical Trial of Reconstruction method for the Elderly patients with gastric cancer after Distal Gastrectomy; Billroth-II Versus Roux-en-Y reconstruction
A Randomized Controlled Phase II Clinical Trial of Reconstruction method for the Elderly patients with gastric cancer after Distal Gastrectomy; Billroth-II Versus Roux-en-Y reconstruction
A Randomized Controlled Phase II Clinical Trial of Reconstruction method for the Elderly patients with gastric cancer after Distal Gastrectomy; Billroth-II Versus Roux-en-Y reconstruction
Japan |
gastric caner
Gastrointestinal surgery |
Malignancy
NO
To determine the clinical efficacy of performing the B-II method compared to the conventional R-Y method in elderly patients with gastric cancer after distal gastrectomy.
Safety,Efficacy
Weight loss rate 1 month after surgery
Weight loss rate at discharge, 3 months, 6 months, and 1 year after surgery
Postoperative complications
Nutritional status
Blood loss, operative time, postoperative hospital stay
Frequency of reflux esophagitis, residual gastritis, and dumping
Compliance with postoperative adjuvant chemotherapy
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Treatment
Maneuver |
Billroth-II
Roux-en-Y
75 | years-old | <= |
Not applicable |
Male and Female
1-1 Primary gastric cancer diagnosed as adenocarcinoma by biopsy.
1-2 Patients who are scheduled for distal gastrectomy for gastric cancer.
1-3 Patients in whom preoperative examination findings suggest that Billroth-I reconstruction is inappropriate, and reconstruction by Billroth-II or Roux-en-Y reconstruction is possible.
1-4 Age 75 years or older
1-5 Performance status 0-2 ECOG classification
1-6 Patients who have been diagnosed as being able to undergo R0 resection.
1-7 Patients who have given written consent to participate in this study.
1-8 Patients who have not undergone previous surgery involving open bowel resection.
1-9 Patients with sufficient bone marrow, liver, and kidney function.
2-1) Patients with non-curative factors such as peritoneal dissemination, liver metastasis, distant metastasis, or invasion of other organs (T4b) in pre-treatment and preoperative examinations (abdominal CT, abdominal ultrasound, x-ray, etc., in addition to general blood tests).
2-2) Patients with concurrent multiple cancers other than stomach. However, carcinoma in situ of cervical cancer and focal cancer in adenoma of colorectal cancer are not exclusion criteria.
2-3) Patients with heterogeneous multiple cancers that have recurred after treatment or have not passed more than 5 years after treatment. (2-3) Heterogeneous multiple cancers that have recurred after treatment or have not been treated for more than 5 years. 2-4) Patients with emphysema, etc.
2-4) Patients with severe respiratory disorders such as emphysema.
2-5) Patients with a definite history of myocardial infarction. Or cases that can be judged positive by Master two step.
2-6) Cirrhosis or
2-6) Patients with liver cirrhosis or active hepatitis.
2-7) Patients with chronic renal failure requiring dialysis.
2-7) Patients with chronic renal failure requiring dialysis. 2-8) Diabetic patients with poor control (HbA1c: 8.0 or higher).
(2-9) Patients who are judged by the investigator to be inappropriate for the safe conduct of the study.
2-10) Patients with reflux esophagitis (LA classification A or higher).
100
1st name | Yuichiro |
Middle name | |
Last name | Doki |
Graduate School of Medicine, Osaka University
Department of Gastroenterological Surgery
565-0871
2-2 Yamadaoka, Suita City, Osaka
0668793251
ydoki@gesurg.med.osaka-u.ac.jp
1st name | Koji |
Middle name | |
Last name | Tanaka |
Graduate School of Medicine, Osaka University
Department of Gastroenterological Surgery
565-0871
2-2 Yamadaoka, Suita City, Osaka
0668793251
ktanaka@gesurg.med.osaka-u.ac.jp
Clinical Study Group of Osaka University
None
Other
Graduate School of Medicine, Osaka University
2-2 Yamadaoka, Suita City, Osaka
0668793251
ykurokawa@gesurg.med.osaka-u.ac.jp
NO
2022 | Year | 03 | Month | 01 | Day |
Unpublished
Enrolling by invitation
2021 | Year | 11 | Month | 21 | Day |
2022 | Year | 02 | Month | 21 | Day |
2022 | Year | 02 | Month | 22 | Day |
2027 | Year | 12 | Month | 31 | Day |
2022 | Year | 02 | Month | 19 | Day |
2024 | Year | 08 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053572