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The CHOLEGAS Study: Multicentric Randomized, Double-Blinded, Controlled Trial of Gastrectomy Plus Prophylactic Cholecystectomy Versus Gastrectomy Only, in Adults Submitted to Gastric Cancer Surgery With Curative Intent.


Phase 4
18 Years
80 Years
Open (Enrolling)
Both
Gastric Cancer

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Trial Information

The CHOLEGAS Study: Multicentric Randomized, Double-Blinded, Controlled Trial of Gastrectomy Plus Prophylactic Cholecystectomy Versus Gastrectomy Only, in Adults Submitted to Gastric Cancer Surgery With Curative Intent.


The incidence of gallstones and gallbladder sludge is known to be higher in patients after
gastrectomy than in general population. This higher incidence is probably related to
surgical dissection of the vagus nerve branches and the anatomical gastrointestinal
reconstruction. Therefore, some surgeons perform routine concomitant cholecystectomy during
standard surgery for gastric malignancies. However, not all the patients who are diagnosed
to have cholelithiasis after gastric cancer surgery will develop symptoms or require
additional surgical treatments and a standard laparoscopic cholecystectomy is feasible even
in those patients who underwent previous gastric surgery.


Inclusion Criteria:



- Patients undergoing standard gastric surgery for cancer

Exclusion Criteria:

- gallbladder disease

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Outcome Measure:

Reduced biliary complications

Outcome Time Frame:

5 years

Safety Issue:

Yes

Principal Investigator

Marco Farsi, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Chirurgia Generale e Oncologica Azienda Ospedaliero-Universitaria Careggi

Authority:

Italy: Ethics Committee

Study ID:

Firenze 1

NCT ID:

NCT00757640

Start Date:

September 2008

Completion Date:

September 2015

Related Keywords:

  • Gastric Cancer
  • gastric cancer, surgery, prophylactic cholecystectomy
  • Stomach Neoplasms

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