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A clinical trial to compare Cattel Warren technique versus Modified Blumgart technique of Pancreaticojejunostomy in whipples procedure

Cattell warren duct to mucosa suture technique versus modified blumgart mattress suture technique of Pancreaticojejunostomy - A Randomised control trial.

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/02/031217
Enrollment
40
Registered
2021-02-11
Start date
Unknown
Completion date
Unknown
Last updated
2022-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: D137- Benign neoplasm of endocrine pancreas Health Condition 2: C241- Malignant neoplasm of ampulla of Vater Health Condition 3: C240- Malignant neoplasm of extrahepaticbile duct Health Condition 4: C250- Malignant neoplasm of head of pancreas Health Condition 5: C248- Malignant neoplasm of overlappingsites of biliary tract Health Condition 6: C258- Malignant neoplasm of overlappingsites of pancreas Health Condition 7: C253- Malignant neoplasm of pancreatic duct Health

Interventions

Intervention1: Cattell-Warren duct-to-mucosa pancreaticojejunostomy: Cattell-Warren duct-to-mucosa pancreaticojejunostomy(PJ) is a widely practiced procedure. Anastomosis consists of two layers
an inner true duct-to-mucosa layer and an outer seromuscular (Lembert) layer. Secondly, the suture sequence is posterior outer, posterior inner, anterior inner, followed by anterior outer Intervention
an inner true duct-to-mucosa layer and an outer seromuscular (Lembert) layer. Secondly, the suture sequence is posterior outer, posterior inner, anterior inner, followed by anterior outer

Sponsors

osmania general hospital
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.All those cases between the age of 18 to 70 years operated for elective Whipple�s pancreaticoduodenectomy from January 2020 to March 2022 in the department of surgical gastroenterology at Osmania general hospital 2.All patients who underwent Neo Adjuvant chemotherapyPrior to surgery

Exclusion criteria

Exclusion criteria: 1.This study excluded patients who refused randomization 2.Those requiring vascular resection and reconstruction of vein and artery multi visceral resection 3Severe comorbidity, such as chronic obstructive pulmonary disease , liver cirrhosis

Design outcomes

Secondary

MeasureTime frame
Compare difference in morbidity and mortality between the 2 groups . following parameters are compared delayed gastric empting ; postoperative fluid collection; operation time, hospital stay , mortality rate Timepoint: 90 days—

Primary

MeasureTime frame
To compare difference in leak/fistula rate at the pancreatico-jejunostomy as measured as biochemical leak , grade B, grade C POPF and Post Pancreatectomy Hemorrhage (PPH) incidence between Cattell warren interrupted suture and modified Blumgart mattress groupTimepoint: 90 days—

Countries

India

Contacts

Public ContactBusani Varun

Osmania general hospital

madhuchinthakindhi@rediffmail.com9959182606

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026