Surgical TreAtment for Obesity Related Disease and Onco-Metabolic Surgery

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-69
SponsorKorea University Anam Hospital

About this trial

This is a prospective, multi-center, randomized controlled trial to compare Billroth II reconstruction versus conventional Roux-en-Y reconstruction versus long limb Roux-en-Y reconstruction for glycemic control in patients with concurrent type 2 diabetes and gastric cancer.

Eligibility criteria

Qualifiers

Distal gastric adenocarcinoma diagnosed pathologically under preoperative endoscopic biopsy, and clinical stage I-II

Body mass index ≥ 23 kg/m2

Type 2 diabetes and HbA1c ≥ 6.5%

Disqualifiers

Insulin usage for glycemic control at the time of screening evaluation

Prior gastrointestinal surgery including splenectomy, hepatobiliary and pancreatic surgery (except hemorrhoidectomy, herniorrhaphy, and appendectomy)

Abdominal, thoracic, pelvic and/or obstetric-gynecologic surgery within 3 months

Cardiovascular conditions including significant known CAD, uncompensated congestive heart failure, history of stroke, or uncontrolled hypertension. Subjects with CAD that have been successfully treated with CABG or PCI, and have no evidence of active ischemia are eligible

Trial design

Treatments tested in this trial

  • Long limb Roux-en-Y reconstruction after subtotal gastrectomy
  • Conventional Roux-en-Y reconstruction after subtotal gastrectomy
  • Billroth II reconstruction after subtotal gastrectomy

Treatment groups

120 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Korea University Anam Hospital

Lead sponsor

Korea University Ansan Hospital

Collaborator

Korea University Guro Hospital

Collaborator

Chonnam National University Hospital

Collaborator

Kyung Hee University Hospital at Gangdong

Collaborator

Ajou University

Collaborator