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Antecolic Versus Retrocolic Gastrojejunostomy During Whipple's Procedure


2025-03-30


2028-03-31


2029-03-31


76

Study Overview

Antecolic Versus Retrocolic Gastrojejunostomy During Whipple's Procedure

Aim: This randomized clinical study aims to compare occurrence of DGE in patients undergoing either antecolic or retrocolic gastrojejunostomy following pancreaticoduodenectomy. Methods: Participants of this study will be patients undergoing pylorus preserving pancreaticoduodenectomy at the Surgical Department of the University Hospital of Larissa. Patients will be randomized to undergo either an antecolic or a retrocolic gastrojejunostomy and the occurrence of DGE will then be compared between the two groups. Individuals younger than 18 or older than 75 years old, as well as patients who do not consent to participate in this trial, will be excluded. Expected results: Based on available literature, antecolic gastrojejunostomy may be related with a lower incidence of DGE, without a statistically significant difference between the two methods. We aim to show if one of the two methods of gastrointestinal reconstruction (antecolic versus retrocolic) affects DGE.

N/A

  • Pancreatic Cancer Resectable
  • Pancreas Neoplasms
  • PROCEDURE: Antecolic gastrojejunostomy
  • PROCEDURE: Retrocolic gastrojejunostomy
  • University hospital of Larissa

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2025-03-30  

N/A  

2025-06-05  

2025-03-30  

N/A  

2025-06-06  

2025-04-06  

N/A  

2025-03  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Randomized


Interventional Model:
Single Group


Masking:
Double


Arms and Interventions

Participant Group/ArmIntervention/Treatment
ACTIVE_COMPARATOR: Antecolic gastrojejunostomy

PROCEDURE: Antecolic gastrojejunostomy

  • Gastrojejunostomy in front of the transverse colon
ACTIVE_COMPARATOR: Retrocolic gastrojejunostomy

PROCEDURE: Retrocolic gastrojejunostomy

  • Gastrojejunostomy through the transverse mesocolon
Primary Outcome MeasuresMeasure DescriptionTime Frame
Delayed Gastric EmptyingThe occurence of delayed gastric emptying will be compared between two groups of patients: those who undergo an antecolic gastrojejunostomy and those who undergo a retrocolic approach.3 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Chrysoula C Kolla

Phone Number: +306983075706

Email: christinakolla@yahoo.gr

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Age over 18 years old
  • Elective pancreaticoduodenectomy
  • Signed consent form

  • Exclusion Criteria:

  • Age under 18 years old
  • Patients who are participants in other trials that may affect the results of this study
  • Patients who do not consent to participate in the study

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • STUDY_CHAIR: Dimitrios Symeonidis, University of Thessaly

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available