胰十二指肠切除术重建中Braun吻合术对胃排空延迟(DGE)影响的前瞻性单中心随机对照试验

注册号:

Registration number:

ChiCTR2600124958 

最近更新日期:

Date of Last Refreshed on:

2026-05-19 17:05:17 

注册时间:

Date of Registration:

2026-05-19 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

胰十二指肠切除术重建中Braun吻合术对胃排空延迟(DGE)影响的前瞻性单中心随机对照试验

Public title:

The Effect of Braun Anastomosis on Delayed Gastric Emptying (DGE) in Reconstruction After Pancreaticoduodenectomy: A Prospective Single-center Randomized Controlled Trial

注册题目简写:

English Acronym:

研究课题的正式科学名称:

胰十二指肠切除术重建中Braun吻合术对胃排空延迟(DGE)影响的前瞻性单中心随机对照试验

Scientific title:

The Effect of Braun Anastomosis on Delayed Gastric Emptying (DGE) in Reconstruction After Pancreaticoduodenectomy: A Prospective Single-center Randomized Controlled Trial

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

崔云龙 

研究负责人:

崔云龙 

Applicant:

Cui Yunlong 

Study leader:

Cui Yunlong 

申请注册联系人电话:

Applicant telephone:

+86 139 2036 2239

研究负责人电话:

Study leader's
telephone:

+86 139 2036 2239

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

ningyunlong@163.com

研究负责人电子邮件:

Study leader's E-mail:

ningyunlong@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

中国天津市河西区体院北环湖西路

研究负责人通讯地址:

中国天津市河西区体院北环湖西路

Applicant address:

Huanhu Road West, Tiyuan North, Hexi District, Tianjin, China

Study leader's address:

Huanhu Road West, Tiyuan North, Hexi District, Tianjin, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

天津市肿瘤医院

Applicant's institution:

Tianjin Medical University Cancer Institute & Hospital

研究负责人所在单位:

天津市肿瘤医院

Affiliation of the Leader:

Tianjin Medical University Cancer Institute & Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

E20260376

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

天津市肿瘤医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Tianjin Cancer Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2026-03-31 00:00:00

伦理委员会联系人:

刘美君

Contact Name of the ethic committee:

Liu Meijun

伦理委员会联系地址:

中国天津市河西区体院北环湖西路

Contact Address of the ethic committee:

Huanhu Road West, Tiyuan North, Hexi District, Tianjin, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 22 2334 0123

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

天津市肿瘤医院

Primary sponsor:

Tianjin Medical University Cancer Institute & Hospital

研究实施负责(组长)单位地址:

中国天津市河西区体院北环湖西路

Primary sponsor's address:

Huanhu Road West, Tiyuan North, Hexi District, Tianjin, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

天津

市(区县):

Country:

China

Province:

Tianjin

City:

单位(医院):

天津市肿瘤医院

具体地址:

中国天津市河西区体院北环湖西路

Institution
hospital:

Tianjin Medical University Cancer Institute & Hospital

Address:

Huanhu Road West, Tiyuan North, Hexi District, Tianjin, China

经费或物资来源:

自筹

Source(s) of funding:

Self-funded

研究疾病:

胰腺恶性肿瘤  

Target disease:

Pancreatic Malignant Tumors

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

II期临床试验 

Study phase:

2

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究为一项前瞻性随机对照试验,目的旨在评估胰十二指肠切除术(PD)重建中Braun吻合术对胃排空延迟(DGE)的影响。通过比较在PD后重建中引入Braun吻合术(BE)与未引入BE的患者在术后DGE发生率上的差异,从而评估治疗的有效性和安全性,以便在是否将BE引入PD常规重建治疗时提供临床决策。  

Objectives of Study:

This is a prospective randomized controlled trial designed to evaluate the impact of Braun anastomosis (BE) on delayed gastric emptying (DGE) during pancreaticoduodenectomy (PD) reconstruction. By comparing the incidence of postoperative DGE between patients who undergo PD reconstruction with Braun anastomosis (BE) and those without BE, the study aims to assess the efficacy and safety of BE, thereby providing clinical evidence to guide decision-making regarding the routine application of BE in PD reconstruction.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 年龄<18岁; 2. 既往诊断为胃轻瘫; 3. 良性病变; 4. 既往接受过上消化道手术的患者; 5. 幽门梗阻患者; 6. PPPD; 7. 经新辅助或转化治疗患者; 8. 术前糖化血红蛋白(HbA 1C)> 7.5%; 9. 术前胆红素水平大于200μmol/L; 10. 未提供知情同意的患者。

Exclusion criteria:

1. Age < 18 years; 2. Prior diagnosis of gastroparesis; 3. Benign disease as the indication for PD; 4. Previous history of upper gastrointestinal surgery; 5. Preoperative pyloric obstruction; 6. Planned pylorus-preserving pancreaticoduodenectomy (PPPD); 7. Patients who have received neoadjuvant or conversion therapy; 8. Preoperative glycated hemoglobin (HbA1c) > 7.5%; 9. Preoperative total bilirubin level > 200 μmol/L; 10. Unable or unwilling to provide written informed consent.

研究实施时间:

Study execute time:

From 2026-06-01 00:00:00 To 2028-05-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-01 00:00:00 To 2027-05-31 00:00:00

干预措施:

Interventions:

组别:

干预组

样本量:

132

Group:

Intervention group

Sample size:

干预措施:

行Billroth II重建术伴Braun吻合术(BE)

干预措施代码:

Intervention:

Undergo Billroth II reconstruction combined with Braun anastomosis (BE)

Intervention code:

组别:

对照组

样本量:

132

Group:

Control group

Sample size:

干预措施:

行Billroth II重建术不伴BE

干预措施代码:

Intervention:

Undergo Billroth II reconstruction without BE

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

天津 

市(区县):

 

Country:

China

Province:

Tianjin

City:

单位(医院):

天津市肿瘤医院 

单位级别:

三甲 

Institution
hospital:

Tianjin Medical University Cancer Institute & Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

DGE发生率(ISGPS)

指标类型:

主要指标

Outcome:

Incidence of delayed gastric emptying (DGE)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院时间

指标类型:

次要指标

Outcome:

Length of hospital stay (days)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

治疗费用

指标类型:

次要指标

Outcome:

Treatment cost

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后恢复情况

指标类型:

次要指标

Outcome:

Postoperative recovery

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胆汁反流情况

指标类型:

次要指标

Outcome:

Bile reflux

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 70 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

随机平行对照,1:1 随机分配

Randomization Procedure (please state who generates the random number sequence and by what method):

Random parallel control, 1:1 random allocation

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

本研究为开放标签设计,不对受试者及研究者设盲。

Blinding:

This study is an open-label design without blinding of subjects or investigators.

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

数据不共享

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Data not shared

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

同时采用病例记录表和电子管理系统进行数据管理。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case Record Form and Electronic Data Capture were used for data management simultaneously.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2026-05-19 17:05:10