Tranexamic Acid in Sleeve Gastrectomy
Use of Tranexamic Acid in Postoperative Early Period Bleeding in Patients Undergoing Sleeve Gastrectomy: A Randomized Controlled Trial
1 other identifier
interventional
200
1 country
1
Brief Summary
The effectiveness of Tranexamic acid use will be measured in cases of sleeve gastrectomy in bariatric surgery and in early postoperative bleeding.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
January 2, 2023
CompletedFirst Submitted
Initial submission to the registry
January 8, 2023
CompletedFirst Posted
Study publicly available on registry
January 25, 2023
CompletedJanuary 25, 2023
January 1, 2023
1 year
January 8, 2023
January 20, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
effect on bleeding in the first one hours postoperatively
postoperative bleeding
postoperative 1st hours
Secondary Outcomes (1)
effect on bleeding in the first 24 hours postoperatively
postoperative 24st hours
Study Arms (3)
The effectiveness of Tranexamic acid use of sleeve gastrectomy
ACTIVE COMPARATORIn this study, it was determined which treatment package would be received by opening the closed envelopes of patients who had at least one point or more bleeding during the operation and had hemostasis with clips. In the intervention group, at the end of the surgery, intravenous TXA (Transamine) 1000 mg dissolved in 100 mL 0.9% sodium chloride was administered intravenously within 10 minutes as a loading dose within the first 30 minutes. After the end of the loading dose, a maintenance dose of 120mg/hour TXA was infused in 500ml (60ml/hour) saline.
Plasebo grup
PLACEBO COMPARATORThe placebo group was given 100ml of saline in the first 30 minutes, followed by a maintenance dose of 60ml/hour of saline for 8 hours.
Sham grup
ACTIVE COMPARATORPatients with no bleeding to be treated were not enveloped and were excluded from the intervention or placebo group.
Interventions
In the intervention group, intravenous TXA (Transamine) 1000 mg dissolved in 100 mL 0.9% sodium chloride was administered intravenously within 10 minutes as a loading dose within the first 30 minutes at the end of the surgery. After the end of the loading dose, a maintenance dose of 120mg/hour TXA was infused in 500ml (60ml/hour) SF. The placebo group was given 100ml of saline in the first 30 minutes, followed by a maintenance dose of 60ml/hour of saline for 8 hours.
Eligibility Criteria
You may qualify if:
- Patients aged 18 to 65 years with an American Association of Anesthesiologists (ASA) physical condition score II or III
- undergoing bariatric surgery and LSG
You may not qualify if:
- history of thromboembolic disease or severe comorbidity (ASA IV or more)
- platelet antiaggregants or anticoagulants
- active intravascular coagulation carriers
- acute occlusive vasculopathy
- hypersensitivity to the components of the TXA formula.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Göztepe Prof. Dr. Suleyman Yalcin City Hospital
Kadıköy, Istanbul, 34732, Turkey (Türkiye)
Related Publications (1)
Sermet M, Ozsoy MS. Effect of Tranexamic Acid on Postoperative Bleeding in Sleeve Gastrectomy: a Randomized Trial. Obes Surg. 2023 Dec;33(12):3962-3970. doi: 10.1007/s11695-023-06902-x. Epub 2023 Oct 19.
PMID: 37857939DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
medeni şermet, 1
Goztepe Prof Dr Suleyman Yalcın City Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Specialist Medical doctor
Study Record Dates
First Submitted
January 8, 2023
First Posted
January 25, 2023
Study Start
January 1, 2022
Primary Completion
January 1, 2023
Study Completion
January 2, 2023
Last Updated
January 25, 2023
Record last verified: 2023-01
Data Sharing
- IPD Sharing
- Will not share