NCT04850430

Gastric Venous Reconstruction After Total Pancreatectomy

Gastric Venous Reconstruction to Reduce Gastric Venous Congestion After Total Pancreatectomy

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 20 (estimated)
• Sponsor: University Hospital Heidelberg · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Total pancreatoduodenectomy (TP) is the standard surgical approach for treatment of extended pancreas tumors. If the gastric coronary vein has to be sacrificed for oncologic or for technical reasons in total pancreatectomy with splenectomy, gastric venous congestion (GVC) may result because all major venous draining routes are terminated. In the sequelae of GVC, gastric venous infarction ultimately leads to gastric perforation with abdominal sepsis. To avoid gastric venous infarction, partial or even total gastrectomy is usually performed in the event of GVC after TP. However, this significantly impacts the patient's quality of life. Reconstruction of gastric venous outflow represents a technical approach to overcome GVC and to avoid gastric venous infarction making (partial) gastrectomy unnecessary. The current study aims to assess the role of gastric venous outflow reconstruction in GVC after TP to prevent (partial) gastrectomy.

Conditions

• Pancreas Cancer
• Pancreatectomy

Interventions

Type	Name	Description
PROCEDURE	Gastric venous reconstruction	Patients will be assigned to study after intraoperative evaluation of gastric venous drainage after coronary vein resection during TP, and the gastric venous outflow will be reconstructed after TP.

Timeline

• Start date: 2024-02-01
• Primary completion: 2024-08-01
• Completion: 2025-12-01
• First posted: 2021-04-20
• Last updated: 2023-12-13

Locations

2 sites across 1 country: Germany