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The goal of this observational study is to assess the impact of endoscopic vacuum therapy in patients who underwent total gastrectomy due to gastric cancer and developed esophago-jejunal anastomotic leakage. The main outcomes to be investigated are the following:
Primary endpoint: mortality rate Secondary endpoints: morbidity rate, time from AL diagnosis to discharge, patients satisfactory rate.
Patients who are diagnosed with asophago-jejunal anastomotic leakage will undergo endoscopic vacuum therapy. Local source control may be additionally achieved with para-anastomotic drains.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Endo-vac cohort | Patients who are diagnosed with asophago-jejunal anastomotic leakage will undergo endoscopic vacuum therapy. Local source control may be additionally achieved with para-anastomotic drains. |
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| Measure | Description | Time Frame |
|---|---|---|
| Mortality rate | Mortality rate associated with endoscopic vacuum therapy | 90 days after last endo-vac placement |
| Measure | Description | Time Frame |
|---|---|---|
| Morbidity rate | Rate of complications associated with endoscopic vacuum therapy or ineffective local control | 90 days after last endoscopic vacuum placement |
| Time from AL diagnosis to discharge |
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Inclusion Criteria:
Exclusion Criteria:
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Study population involves ukrainian patients who developed esophago-jejunal anastomotic leak after total gastrectomy due to gastric cancer
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Oleksii Dobrzhanskyi, MD | Contact | +380638760185 | alekseydobrzhanskiy@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Oleksii Dobrzhanskyi, MD | National Cancer Institute (NCI) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Cancer Institute | Recruiting | Kyiv | 03022 | Ukraine |
Anonymous IPD will be shared upon reasonable request
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| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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time from AL diagnosis to discharge
| The number of days from from AL diagnosis to discharge |
| Patients satisfactory rate | Patients satisfactory rate assessed by quality of life questionnaires and patient-reported outcomes scales | 90 days after discharge, 365 days after discharge, 2/3/4/5 years after discharge |
| D004066 |
| Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |