Delayed Gastric Emptying, Esophagectomy, No Signs of Cancer Recurrence
Conditions
Brief summary
Delayed emptying of the gastric tube after esophagectomy is a frequent and durable problem. No treatment is currently available. It can be hypothesized that incomplete relaxation of the pyloric sphincter may be a significant contributing factor. Pneumatic dilatation may therefore be a potentially effective treatment.
Detailed description
Patients surviving one year after esophagectomy are sent questionnaires to pick up symptoms suggestive of delayed gastric emptying.Those fulfilling predefined criteria for delayed gastric emptying will be invited to the study. The study design is sham controlled single blind with a follow up extending to twelve months post treatment.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Previous esophagectomy and gastric tube reconstruction. * Symptoms suggestive of delayed gastric emptying. * signed informed consent
Exclusion criteria
* Signs of recurrent cancer disease * no symptoms suggestive of delayed gastric emptying. * unwillingness to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Symptoms suggestive of delayed gastric emptying | 3-12 months after treatment | Symptoms will be assessed at 3, 6 and 12 months after therapy. In case of failure the code will be broken and if sham procedure has been done the patient will be offered pneumatic dilatation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life | 3-12 months after treatment. | Symptoms will be assessed at 3, 6 and 12 months after therapy. In case of failure the code will be broken and if sham procedure has been done the patient will be offered pneumatic dilatation. |
| Delayed gastric emptying | 3, 6 and 12 months after treatment. | Symptoms will be assessed at 3, 6 and 12 months after therapy. In case of failure the code will be broken and if sham procedure has been done the patient will be offered pneumatic dilatation. Paracetamol test done only 3 months after treatment. |
Countries
Sweden