UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059651
Receipt number R000068233
Scientific Title A multicenter retrospective observational study on the impact of non-GAstric conduit ReconstruCtion ON postoperative outcomes after ESOphagectomy (ESO-GARCON Study)
Date of disclosure of the study information 2025/11/05
Last modified on 2025/11/05 18:33:32

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Basic information

Public title

A multicenter retrospective observational study on the impact of non-GAstric conduit ReconstruCtion ON postoperative outcomes after ESOphagectomy (ESO-GARCON Study)

Acronym

A multicenter retrospective observational study on the impact of non-GAstric conduit ReconstruCtion ON postoperative outcomes after ESOphagectomy (ESO-GARCON Study)

Scientific Title

A multicenter retrospective observational study on the impact of non-GAstric conduit ReconstruCtion ON postoperative outcomes after ESOphagectomy (ESO-GARCON Study)

Scientific Title:Acronym

A multicenter retrospective observational study on the impact of non-GAstric conduit ReconstruCtion ON postoperative outcomes after ESOphagectomy (ESO-GARCON Study)

Region

Japan


Condition

Condition

esophageal cancer, esophagogastric junction cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To clarify the impact of non-gastric conduit reconstruction on postoperative outcomes after esophagectomy, this study aims to identify the optimal reconstruction method for non-gastric conduit cases and to compare both short- and long-term outcomes, including nutritional indicators, between colonic and jejunal reconstructions.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Postoperative weight loss rate
Definition: The weight loss rate is defined as follows.
Weight loss rate at X years after reconstruction = (Body weight at X years after reconstruction - Preoperative body weight) / Preoperative body weight

Key secondary outcomes

Reduction rate of psoas muscle area, reduction rate of BMI
Nutritional indicators (PNI, NLR, PLR)
PNI: Prognostic Nutrition Index
NLR: Neutrophil-to-Lymphocyte Ratio
PLR: Platelet-to-Lymphocyte Ratio
Overall survival, relapse-free survival, progression-free survival
Intraoperative complication rate, postoperative complication rate, curative resection rate


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who meet any of the following criteria will be included:

Patients with cervical, thoracic, or abdominal esophageal cancer, or esophagogastric junction cancer, who have a history of gastrectomy (regardless of whether the previous gastrectomy was for benign or malignant disease) and underwent curative resection with non-gastric conduit reconstruction (using colon or small intestine), either as a one-stage or staged procedure.

Patients with esophagogastric junction cancer requiring total esophagectomy and gastrectomy (or proximal gastrectomy) who underwent curative resection with non-gastric conduit reconstruction (using colon or small intestine), either as a one-stage or staged procedure.

Patients with double cancer involving the cervical, thoracic, or abdominal esophagus and stomach, requiring total esophagectomy and gastrectomy (or proximal gastrectomy), who underwent curative resection with non-gastric conduit reconstruction (using colon or small intestine), either as a one-stage or staged procedure. Cases of esophageal cancer with gastric invasion and gastric cancer with esophageal invasion will be handled in the same manner.

Patients who underwent curative resection with non-gastric conduit reconstruction (using colon or small intestine), either as a one-stage or staged procedure, due to intraoperative complications (e.g., intraoperative gastric conduit necrosis).

Among the above, eligible patients are those aged 18 years or older who underwent surgery between January 1, 2013, and December 31, 2023.

Key exclusion criteria

Patients who underwent non-gastric conduit reconstruction as a reoperation due to postoperative complications (e.g., anastomotic leakage, gastric conduit necrosis, tracheal fistula, or refractory reflux esophagitis).

Patients who underwent non-gastric conduit reconstruction following curative resection due to local recurrence of a prior disease or other related conditions.

Patients who underwent non-gastric conduit reconstruction for metachronous double cancer, such as gastric conduit cancer.

Patients who declined participation in this study through the optout process.

Patients deemed inappropriate for inclusion by the attending physician's judgment.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Yuta
Middle name
Last name Sato

Organization

Gifu University Hospital

Division name

Department of Gastrointestinal Surgery and Pediatric Surgery

Zip code

501-1194

Address

1-1 Yanagido, Gifu City, Gifu, Japan

TEL

0582306000

Email

m03039ys@yahoo.co.jp


Public contact

Name of contact person

1st name Yuta
Middle name
Last name Sato

Organization

Gifu University Hospital

Division name

Department of Gastrointestinal Surgery and Pediatric Surgery

Zip code

501-1194

Address

1-1 Yanagido, Gifu City, Gifu, Japan

TEL

0582306000

Homepage URL


Email

m03039ys@yahoo.co.jp


Sponsor or person

Institute

Gifu University

Institute

Department

Personal name



Funding Source

Organization

non

Organization

Division

Category of Funding Organization

Local Government

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board for Medical Research of Gifu University

Address

1-1 Yanagido, Gifu City, Gifu, Japan

Tel

0582306059

Email

rinri@t.gifu-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 11 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 11 Month 05 Day

Date of IRB


Anticipated trial start date

2025 Year 11 Month 10 Day

Last follow-up date

2028 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

At each participating institution, patients who meet the inclusion and exclusion criteria and underwent surgery between January 1, 2013, and December 31, 2023, will be identified.
Collection of existing data:
Researchers will collect clinical data for each case using medical records and complete the case report forms provided by the study office.
Researchers will submit the collected data to the study office via email.
When necessary, researchers will provide preoperative CT images of eligible cases to the study office using electronic storage media (e.g., USB, DVD-ROM), ensuring that all personal identifiers are masked.


Management information

Registered date

2025 Year 11 Month 05 Day

Last modified on

2025 Year 11 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068233