Anesthesia Management and Perioperative Outcomes in Awake Jejunostomy and Gastrostomy

NCT07885358 | Completed

• 1 other identifier: awake-jg
• Study Type: observational
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

Patients requiring surgical jejunostomy or gastrostomy often have advanced malignancy, multiple comorbidities, and limited physiological reserve, which may increase the risks associated with general anesthesia. Ultrasound-guided fascial plane blocks may provide an alternative anesthetic approach in selected high-risk patients. This single-center retrospective observational study aims to evaluate anesthesia management and perioperative outcomes in adult patients who underwent open surgical jejunostomy or gastrostomy using fascial plane blocks as the primary anesthetic strategy between February 2024 and August 2026. The primary outcome is successful completion of surgery without conversion to general anesthesia. Secondary outcomes include supplementary sedative and analgesic requirements, airway interventions, intraoperative adverse events, postoperative rescue analgesia, length of hospital stay, and in-hospital mortality.

Conditions

Jejunostomy; Gastrostomy; Anesthesia, Regional

Keywords

Regional anesthesia; Fascial plane block; Recto-intercostal fascial plane block

Outcome Measures

Primary Outcomes (1)

• Completion of Surgery Without Conversion to General Anesthesia

  The proportion of patients in whom the planned surgical jejunostomy or gastrostomy was completed using a fascial plane block-based anesthetic strategy, with supplementary sedation or analgesia as clinically indicated, without conversion to general anesthesia. Conversion status was determined from the anesthesia records. The outcome was expressed as the number and percentage of patients, with an exact binomial 95% confidence interval.

  "Perioperative/Periprocedural"

Secondary Outcomes (8)

• Supplementary Sedative and Analgesic Requirements

  "Perioperative/Periprocedural"

• New Airway Intervention

  "Perioperative/Periprocedural"

• Intraoperative Adverse Events

  "Perioperative/Periprocedural"

• Intraoperative Vasopressor Requirement

  "Perioperative/Periprocedural"

• Postoperative Rescue Analgesic Requirement

  postoperative 24 hours

Study Arms (1)

Fascial Plane Block-Based Anesthesia Group

Adult patients with American Society of Anesthesiologists (ASA) physical status III-IV who underwent open surgical jejunostomy or gastrostomy using ultrasound-guided fascial plane blocks as the primary anesthetic strategy between February 2024 and August 2026. Regional anesthesia techniques included rectus sheath block (RSB), recto-intercostal fascial plane block (RIFPB), serratus-intercostal plane block (SIPB), and thoracoabdominal nerves block through the perichondrial approach (TAPA), administered individually or in combination according to clinical requirements. Intravenous sedation and analgesia were provided when clinically indicated.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients with ASA physical status III-IV who underwent open surgical jejunostomy or gastrostomy using ultrasound-guided fascial plane blocks as the planned primary anesthetic strategy at Samsun City Hospital, Türkiye, between February 2024 and August 2026. Eligible patients were identified retrospectively through hospital electronic medical records and anesthesia charts.

You may qualify if:

• Adults aged 18 years or older.
• Patients who underwent open surgical jejunostomy or gastrostomy between February 2024 and August 2026.
• American Society of Anesthesiologists (ASA) physical status III-IV.
• Use of ultrasound-guided fascial plane blocks as the planned primary anesthetic strategy.
• Availability of sufficient anesthesia records and perioperative clinical data to assess the primary outcome.

You may not qualify if:

• Patients younger than 18 years.
• Patients scheduled to receive general anesthesia from the outset.
• Patients undergoing endoscopic or radiologically guided jejunostomy or gastrostomy.
• Insufficient or incomplete medical records preventing assessment of the primary outcome.

Sponsors & Collaborators

• Samsun University: lead

Study Sites (1)

Samsun City Hospital

Samsun, Samsun, 55080, Turkey (Türkiye)

Location

Study Officials

• Gamze Ertaş, md

  samsun univercity

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Specialist in Anesthesiology and Reanimation

Study Record Dates

• First Submitted: October 11, 2026
• First Posted: October 21, 2026
• Study Start: February 1, 2024
• Primary Completion: September 1, 2026
• Study Completion: October 1, 2026
• Last Updated: October 21, 2026

Record last verified: 2026-10

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)