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Pylorus Dysfunction After Esophagectomy and Gastric Tube Reconstruction. Effect of Pneumatic Pylorus Dilatation During Hospital Stay, Surgical Complications During in Hospital Stay

Pylorus Dysfunction After Esophagectomy. Effect of Pneumatic Dilatation.

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02086461
Enrollment
40
Registered
2014-03-13
Start date
2014-05-31
Completion date
2020-12-31
Last updated
2019-01-03

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

Conditions

Delayed Gastric Emptying, Esophagectomy, No Signs of Cancer Recurrence

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

DEVICEPneumatic pyloric dilatation
OTHER15 mm pyloric balloon dilatation

Sponsors

Lund University Hospital
CollaboratorOTHER
Sahlgrenska University Hospital
CollaboratorOTHER
Region Örebro County
CollaboratorOTHER
Uppsala University Hospital
CollaboratorOTHER
University Hospital, Linkoeping
CollaboratorOTHER
Karolinska University Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

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

MeasureTime frameDescription
Symptoms suggestive of delayed gastric emptying3-12 months after treatmentSymptoms 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

MeasureTime frameDescription
Quality of Life3-12 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 emptying3, 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

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026