Cattell-Warren Versus Blumgart Techniques of Pancreatico-jejunostomy Following Pancreato-duodenectomy
NCT02457156 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 295
Last updated 2025-03-13
Summary
The purpose of this study is to compare two different techniques of performing a pancreatic anastomosis; Cattell-Warren versus Blumgart to determine if a Blumgart anastomosis reduces pancreatic remnant leak, post-operative complications and overall length of hospital stay.
Conditions
Interventions
- PROCEDURE
-
Blumgart Anastomosis
1. Trans pancreatic suture "U" stich incorporating pancreatic parenchyma and jejunal serosa, left loose. 2. Pancreatic duct to jejunal mucosa sutures, inserted and tied. 3. Trans pancreatic suture "U" stich brought back through the jejuanl serosa anteriorly, tied.
- PROCEDURE
-
Cattell-Warren Anastomosis
1. Posterior row of sutures from pancreatic parenchyma to jejunal serosa, inserted and tied. 2. Pancreatic duct to jejunal mucosa sutures, inserted and tied. 3. Anterior row of sutures from pancreatic parenchyma to jejunal serosa, inserted and tied.
- DRUG
-
Octreotide
Octrotide (100ug) to be administered on the evening before surgery and then 100ug three times daily on the day of surgery and post operative days 1 - 6.
Sponsors & Collaborators
- collaborator OTHER
-
University of Liverpool
lead OTHER
Principal Investigators
-
Christopher Halloran · University of Liverpool
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-04-23
- Primary Completion
- 2018-07-31
- Completion
- 2019-01-31
Countries
- United Kingdom
Study Locations
More Related Trials
-
Randomized Controlled Trial on Pancreatic Stent Tube in Pancreaticoduodenectomy
NCT00628186 ·Status: COMPLETED ·Phase: NA
-
The Novel Modified Cattell-Warren Duct-To-Mucosa Pancreaticojejunostomy Technique Significantly Reduces POPF.
NCT07038161 ·Status: COMPLETED
-
Trial Assessing Roux-en-Y Anastomosis of the Pancreatic Stump to Prevent Pancreatic Fistula Following Distal Pancreatectomy
NCT01384617 ·Status: COMPLETED ·Phase: NA
-
Technical Strategies for Pancreatic Fistula Prevention After Pancreaticoduodenectomy in High-risk Pancreatic Remnant
NCT03212196 ·Status: COMPLETED ·Phase: NA
-
Modified vs Conventional Blumgart Anastomosis of LPD for the Effects of Pancreatic Fistula of Periampullary Carcinoma
NCT06076252 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Early Recovery Outcomes After Standardized Fast-track Whipples Procedure
NCT03566056 ·Status: COMPLETED
-
Octreotide in the Prevention of Postoperative Complications After Pancreaticoduodenectomy
NCT02474914 ·Status: COMPLETED ·Phase: NA
-
Anastomotic Techniques in Pancreaticoduodenectomy
NCT00855985 ·Status: UNKNOWN ·Phase: NA
-
Greater Omentum Binding to the Pancreatic Stump to Prevent Pancreatic Fistula Following Distal Pancreatectomy
NCT03752086 ·Status: UNKNOWN ·Phase: NA
-
Pancreaticoduodenectomies With Complete Arterial Coverage by Retromesenteric Omentoplasty
NCT05992857 ·Status: RECRUITING ·Phase: NA
-
The PASTEC Study: Endoscopic Stenting Versus Surgery for the Treatment of Bile Duct Stricture in Chronic Pancreatitis
NCT02366988 ·Status: TERMINATED ·Phase: NA
-
Comparative Study Between Duct to Mucosa and Invagination Pancreaticojejunostomy After Pancreaticoduodenectomy:
NCT02142517 ·Status: COMPLETED ·Phase: NA
-
One-layer Versus Two-layer Duct-to-mucosa Pancreaticojejunostomy After Pancreaticoduodenectomy
NCT02511951 ·Status: UNKNOWN ·Phase: PHASE3
-
Reconstruction Following Pancreaticoduodenectomy: A Randomized Clinical Trial of Pancreaticojejunostomy vs Pancreaticogastomy
NCT00841607 ·Status: COMPLETED ·Phase: NA
-
Different Stapler Cartridge For Pancreatic Stump Texture To Prevent Pancreatic Fistula
NCT02790333 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of TPIAT for Resectable Adenocarcinoma of the Pancreas Region at High Risk of Postoperative Fistula
NCT05116072 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Predictive Risk Factors for Pancreatic Fistula After Pancreaticoduodenectomy
NCT07022015 ·Status: RECRUITING ·Phase: NA
-
Trans-drain Occlusion for Postoperative Pancreatic Fistula- A Double Blind Randomized Clinical Trial
NCT03800940 ·Status: COMPLETED ·Phase: NA
-
Post-Operative Acute Pancreatitis After Pancreaticoduodenectomy
NCT04917172 ·Status: COMPLETED
-
Preoperative Biliary Drainage in Malignant Biliary Obstruction
NCT04847297 ·Status: NOT_YET_RECRUITING
-
Intra-operative Application of HEMOPATCH to the Pancreatic Stump to Prevent Post-operative Pancreatic Fistula Following Distal Pancreatectomy
NCT03410914 ·Status: COMPLETED ·Phase: PHASE2
-
Clinically Relevant Pancreatic Fistula After Pancreaticoduodenectomy
NCT05017207 ·Status: COMPLETED
-
Pancreatic Stump Closure After Distal Pancreatic Resection
NCT02113046 ·Status: TERMINATED ·Phase: NA
-
Management of Traumatic Pancreas Transection
NCT05856474 ·Status: RECRUITING
-
Complication of Pancreatic Fistula and Bleeding After Pancreaticoduodenectomy in Treatment Periampullary Cancer
NCT04985071 ·Status: COMPLETED