Venous Thromboembolism
Conditions
Keywords
gastric cancer, VTE, incidence
Brief summary
This study is to define the optimal method of prophylaxis for patients with gastrectomy in Korea and the investigators hypothesized only mechanical method would be enough for preventing VTE on perioperative period.
Detailed description
Venous thromboembolism (VTE) is common and often fatal complication in patients with cancer. Gastric cancer is the most frequent cancer in Korea. The incidence of VTE would be increased in patients with gastric cancer, especially associated surgery. However, the incidence and optimal prophylactic method associated with cancer surgery are not well studied in Asian patients. Most Korean surgeon concerns regarding the increased postoperative bleeding associated with low molecular weight heparin(LMWH)prophylaxis. The incidence and adverse event will be examined to define the optimal prophylactic method of VTE in surgical patients with gastric cancer.
Interventions
40mg 12 hours before surgery and 12 hours later surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients diagnosed as gastric cancer * Elective and curative under general anesthesia * ECOG score 0-2 * ASA score 3 or less than 3 * Informed consents
Exclusion criteria
* 2nd primary cancer * VTE history within one year * Anticoagulation history * Allergic to heparin * Pregnancy or expected pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of VTE | up to 30 days after operation | The incidence of VTE between mechanical method only group and mechnical plus LMWH group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse event | up to 30 days after operation | The adverse event such as bleeding will also be compared. |
Countries
South Korea