Bioresorbable Membrane to Reduce Postoperative Small Bowel Obstruction
Study Details
Study Description
Brief Summary
To assess whether the use of Seprafilm reduces the rate of small bowel obstruction in patients who underwent surgery for gastric cancer.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
Patients with gastric cancer who were scheduled to undergo gastrectomy were randomly assigned to a sodium hyaluronate-based bioresorbable membrane (Seprafilm) group or to a control group. Before closing the abdominal incision, two sheets of Seprafilm membrane were applied to the surface of the small intestine under the middle abdominal wound in the Seprafilm group. The primary end point was the incidence of bowel obstruction. Secondary end points were intraoperative and postoperative morbidity and mortality.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
No Intervention: control no Seprafilm |
Other: Seprafilm
two sheets per body
|
Active Comparator: Seprafilm
|
Other: Seprafilm
two sheets per body
|
Outcome Measures
Primary Outcome Measures
- incidence of small bowel obstruction [3 years, more than 6 months after gastrectomy]
Secondary Outcome Measures
- intraoperative and postoperative morbidity and mortality. [3 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Clinical diagnosis of gastric cancer
-
Operable
Exclusion Criteria:
-
Withdrew consent
-
Pregnant
-
Ascites
-
Distant metastasis
-
Liver dysfunction (serum total bilirubin >2.0 mg/dL)
-
Renal failure (serum creatinine >1.5 mg/dL)
-
A past history of small bowel obstruction.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Digestive Surgery, NIhon University School of Medicine | Tokyo | Japan | 173-8610 |
Sponsors and Collaborators
- Nihon University
Investigators
- Study Chair: Tadatoshi Takayama, MD, PhD, Department of Digestive Surgery, Nihon University School of Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NUSM-CC-01