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This study aims to examine whether octreotide has an effect on inhibition of the exocrine secretion fo the pancreas, which might lower the rate of postoperative pancreatic fistula after pancreatoduodenectomy. Patients who will undergo pancreatoduodenectomy for periampullary tumors were enrolled. The patients were randomly assigned to intervention (use of octreotide) or placebo groups. Octreotide was injected subcutaneously every 8 hours for 7 days. Every patients will undergo pancreaticojejunostomy with external stent for remnant pancreas management. The pancreatic juice is drained through the external stent by negative pressure and amounted.
Primary endpoint was the amount of pancreatic juice for each postoperative day. Secondary endpoint was the rate of pancreatic fistula.
This study aims to examine whether octreotide has an effect on inhibition of the exocrine secretion fo the pancreas, which might lower the rate of postoperative pancreatic fistula after pancreatoduodenectomy. Patients who will undergo pancreatoduodenectomy for periampullary tumors were enrolled. The patients were randomly assigned to intervention (use of octreotide) or placebo groups. Octreotide of 100ug(1mL) was injected subcutaneously just before operation and every 8 hours for 7 days postoperatively. The placebo group was managed with normal saline (1mL) for same period. Every patients will undergo pancreaticojejunostomy with external stent for remnant pancreas management. The pancreatic juice is drained through the external stent by negative pressure (Barovac) and amounted.
Postoperative care of patients was same between groups such as pain control and supportive care. The amount of drained pancreatic juice via external stent was recorded everyday.
Primary endpoint was the amount of pancreatic juice for each postoperative day. Secondary endpoint was the rate of pancreatic fistula.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| octreotide | Experimental | After pancreatoduodenectomy, octreotide was injected to patients every 8 hours subcutaneously for 7 days |
|
| Placebo | Placebo Comparator | After pancreatoduodenectomy, normal saline was injected to patients every 8 hours subcutaneously for 7 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Octreotide | Drug | After pancreatoduodenectomy, octreotide was injected to patients every 8 hours subcutaneously for 7 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Amount of pancreatic secretion | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of pancreatic fistula | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dong Do You, MD, PhD | Contact | 82312498303 | tzanggu@catholic.ac.kr | |
| Kwang Yeol Paik, MD, Phd | Contact | kpaik@catholic.ac.kr |
| Name | Affiliation | Role |
|---|---|---|
| Dong Do You, MD, PhD | The Catholic University of Korea | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| the Catholic University of Korea St. Vincent's Hospital | Recruiting | Suwon | 16247 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 6128648 | Background | Bauer W, Briner U, Doepfner W, Haller R, Huguenin R, Marbach P, Petcher TJ, Pless. SMS 201-995: a very potent and selective octapeptide analogue of somatostatin with prolonged action. Life Sci. 1982 Sep 13;31(11):1133-40. doi: 10.1016/0024-3205(82)90087-x. | |
| 1733360 | Background | Buchler M, Friess H, Klempa I, Hermanek P, Sulkowski U, Becker H, Schafmayer A, Baca I, Lorenz D, Meister R, et al. Role of octreotide in the prevention of postoperative complications following pancreatic resection. Am J Surg. 1992 Jan;163(1):125-30; discussion 130-1. doi: 10.1016/0002-9610(92)90264-r. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Apr 22, 2019 | |
| Reset | Jul 12, 2019 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Apr 22, 2019 | Jul 12, 2019 |
| ID | Term |
|---|---|
| D015282 | Octreotide |
| D013812 | Therapeutics |
| ID | Term |
|---|---|
| D010456 | Peptides, Cyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
| D010455 | Peptides |
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| Placebo | Drug | After pancreatoduodenectomy, normal saline was injected to patients every 8 hours subcutaneously for 7 days |
|
|
| 2543144 | Background | Di Carlo V, Chiesa R, Pontiroli AE, Carlucci M, Staudacher C, Zerbi A, Cristallo M, Braga M, Pozza G. Pancreatoduodenectomy with occlusion of the residual stump by Neoprene injection. World J Surg. 1989 Jan-Feb;13(1):105-10; discussion 110-1. doi: 10.1007/BF01671167. |
| D000602 |
| Amino Acids, Peptides, and Proteins |