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Semi-mechanical versus hand sewn cervical anastomosis after esophagectomy with gastric tube reconstruction for esophageal cancer; the SHARE study

Semi-mechanical versus hand sewn cervical anastomosis after esophagectomy with gastric tube reconstruction for esophageal cancer; the SHARE study - SMA versus handsewn esophago-gastric anastomosis after esophagectomy

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON35934
Enrollment
200
Registered
2011-07-15
Start date
2011-08-15
Completion date
Unknown
Last updated
2024-06-11

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

Conditions

esophageal cancer esophageal carcinoma

Interventions

Protocol oral intake: From day 1-6 posteropatively, patients are only allowed to take sips of water. On day 7 fluids and semisolid food is allowed. In between day 8 and 10 normal oral intake is cont
*In the terminalized semimechanical side-to-side suture technique, once the cervical esophagus has been transected and the stomach pulled up to the neck, a small incision is made at the top of the g

Sponsors

Erasmus MC, Universitair Medisch Centrum Rotterdam
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: * Esophageal resection with stomach tube reconstruction for esophageal carcinoma * Signed informed consent * Availability for 1 year follow-up in the Erasmus Medical Center * Age over 18 year

Exclusion criteria

Exclusion criteria: * Other forms of esophageal reconstruction than a stomach tube. * Classification of American Society of Anaesthesiologists over or equal to 4.

Design outcomes

Primary

MeasureTime frame
Main study parameter/endpoint: clinical anastomotic leakage defined by neck wound infection and loss of saliva and/or fluids through the wound site, signs of mediastinitis or abcess intrathoracic or leakage confirmed by radiological examination (endoscopy or CT with contrast fluids) after clinical suspicion (i.e. leucocytosis, fever, pain), all within 30 days after operation.

Secondary

MeasureTime frame
Secondary study parameters/endpoints: anastomotic stricture within one year, number of dilations within one year, dysphagia score (table 1, score by Sugahara), quality of life measured by EORTC QLQ C-30 and OES-18 questionnaires preoperative and at 3, 6, 9 and 12 months after surgery.

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)