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In patients of subtotal gastrectomy with Billroth-I or Billroth-II anastomosis, Anastomosis site stricture is very severe complication. It can improve by temporary through the scope covered metallic stent. It is very effective procedure about the stricture. But stent migration is very severe complication. Herein the investigators suggest newly method to prevent the stent migration. Fixation of stent by hemoclip is effective method to prevent stent migration. But it is difficult to remove stent after resolved stricture. So the investigators add the suture between hemoclip and stent. And the investigators cut the suture when stent removal.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anastomosis site stricture | Experimental | anastomosis site stricture after subtotal gastrectomy with Billroth-I anastomosis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| deployment of through the scope covered metallic stent at the stricture site | Procedure | Deployment of Covered Self-expandable Metallic Stents Insertion fixing with Clips and Suture Material at the stricture site |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement of symptom (Resolving anastomosis site stricture) | Improvement of food intake. It was measured by the gastric outlet obstruction scoring system (GOOSS) score, with 0 = no oral intake, 1 = liquid diet, 2 = soft diet, and 3 = regular diet. | Up to 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Complications associated with the procedure | Check all the complications associated with the procedure (e.g. procedure failure, stent migration, no improvement of symptom, etc.) | Up to 1 month (time of stent removal) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sun Gyo Lim, M.D. | Ajou University School of Medicine | Principal Investigator |
| Ki Seong Lee, M.D. | Ajou University School of Medicine | Principal Investigator |
| Joon Koo Kang, M.D. | Ajou University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ajou university hospital | Suwon | Gyeong-gi Do | 443-380 | South Korea | ||
| Ajou University Hospital |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Jul 6, 2020 | |
| Reset | Jul 20, 2020 |
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| Covered Self-expandable Metallic Stents | Device |
|
| Suwon |
| 443-721 |
| South Korea |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jul 6, 2020 | Jul 20, 2020 |