A Trial of Reconstruction After Distal Gastrectomy for Gastric Cancer
A Prospective Randomized Controlled Trial Comparing Billroth-I Reconstruction With Roux-en Y Reconstruction After Distal Gastrectomy for Gastric Cancer
1 other identifier
interventional
120
1 country
1
Brief Summary
The purpose of this study is to evaluate the quality of life (QOL) after Billroth-I reconstruction (B-I) following distal gastrectomy, compared with Roux-en Y reconstruction (R-Y) in patients with gastric cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3 gastric-cancer
Started Jan 2009
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2009
CompletedFirst Submitted
Initial submission to the registry
February 8, 2010
CompletedFirst Posted
Study publicly available on registry
February 9, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2013
CompletedOctober 9, 2018
October 1, 2018
4.7 years
February 8, 2010
October 6, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
the postoperative quality of life (QOL)
3 years after operation
Secondary Outcomes (1)
the incidence of postoperative complications, nutritional status, and the incidence of the remnant gastritis and the reflux esophagitis
1, 3 and 5 years after operation
Study Arms (2)
Roux-en Y
ACTIVE COMPARATORRoux-en Y reconstruction after distal gastrectomy
Billroth-I
EXPERIMENTALBillroth-I reconstruction after distal gastrectomy
Interventions
Eligibility Criteria
You may qualify if:
- Histologically confirmed adenocarcinoma of stomach
- Performance status: Eastern Cooperative Oncology Group (ECOG) 0-1
- Tumor located in the antrum or the angle or the lower body of stomach
- Appropriate informed consent was obtained.
You may not qualify if:
- Patients with severe complications which were possible to prolong hospital stay
- Patients with history of other organ malignancies
- Patients who were diagnosed inadequacy for this study by a physician
- Patients without an informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Second Department of Surgery, Wakayama Medical University
Wakayama, 641-8510, Japan
Related Publications (6)
Ojima T, Iwahashi M, Nakamori M, Nakamura M, Naka T, Katsuda M, Iida T, Tsuji T, Hayata K, Takifuji K, Yamaue H. Clinicopathological characteristics of remnant gastric cancer after a distal gastrectomy. J Gastrointest Surg. 2010 Feb;14(2):277-81. doi: 10.1007/s11605-009-1090-5.
PMID: 19911236BACKGROUNDOjima T, Iwahashi M, Nakamori M, Nakamura M, Naka T, Katsuda M, Iida T, Hayata K, Yamaue H. Association of allogeneic blood transfusions and long-term survival of patients with gastric cancer after curative gastrectomy. J Gastrointest Surg. 2009 Oct;13(10):1821-30. doi: 10.1007/s11605-009-0973-9. Epub 2009 Aug 5.
PMID: 19655208BACKGROUNDIwahashi M, Nakamori M, Nakamura M, Naka T, Ojima T, Iida T, Katsuda M, Ueda K, Yamaue H. Evaluation of double tract reconstruction after total gastrectomy in patients with gastric cancer: prospective randomized controlled trial. World J Surg. 2009 Sep;33(9):1882-8. doi: 10.1007/s00268-009-0109-0.
PMID: 19548028BACKGROUNDOjima T, Iwahashi M, Nakamori M, Nakamura M, Naka T, Ishida K, Ueda K, Katsuda M, Iida T, Tsuji T, Yamaue H. Influence of overweight on patients with gastric cancer after undergoing curative gastrectomy: an analysis of 689 consecutive cases managed by a single center. Arch Surg. 2009 Apr;144(4):351-8; discussion 358. doi: 10.1001/archsurg.2009.20.
PMID: 19380649BACKGROUNDNishizaki D, Ganeko R, Hoshino N, Hida K, Obama K, Furukawa TA, Sakai Y, Watanabe N. Roux-en-Y versus Billroth-I reconstruction after distal gastrectomy for gastric cancer. Cochrane Database Syst Rev. 2021 Sep 15;9(9):CD012998. doi: 10.1002/14651858.CD012998.pub2.
PMID: 34523717DERIVEDNakamura M, Nakamori M, Ojima T, Iwahashi M, Horiuchi T, Kobayashi Y, Yamade N, Shimada K, Oka M, Yamaue H. Randomized clinical trial comparing long-term quality of life for Billroth I versus Roux-en-Y reconstruction after distal gastrectomy for gastric cancer. Br J Surg. 2016 Mar;103(4):337-47. doi: 10.1002/bjs.10060. Epub 2016 Feb 3.
PMID: 26840944DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Masaki Nakamura, MD
Second Department of Surgery, Wakayama Medical University
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Second Department of Surgery, Wakayama Medical University
Study Record Dates
First Submitted
February 8, 2010
First Posted
February 9, 2010
Study Start
January 1, 2009
Primary Completion
September 1, 2013
Study Completion
November 1, 2013
Last Updated
October 9, 2018
Record last verified: 2018-10