An observational study in Biliary Obstruction and Choledochal Cyst, sponsored by University of KwaZulu. Completed at 1 site in South Africa. Open to participants aged Up to 12 Years. Per ClinicalTrials.gov, last updated 2020-03-30.
Sponsored by University of KwaZulu · Observational
This was a retrospective case series experience of paediatric patients who had an Isolated vascularized gastric tube biliary enteric drainage procedure for biliary obstruction over the past five years. We reviewed our experience and outcomes.
Background
Despite the enormous surgical advancements in the last century, access to the biliary system is lost when a Roux-en-Y (RY) biliary drainage procedure is performed. Attempts have been made to overcome this inconvenient sequel of RY biliary drainage by the use of variations in the RY anastomosis, small bowel grafts and vascular grafts. These have been predominantly unsuccessful. The use of an Isolated Vascularized Gastric Tube (IVGT) graft has been reported in the literature, and this was successfully used for adult patients with common bile duct injuries. The investigators have adopted the technique of using an IVGT graft for bile duct reconstruction in the paediatric patients at their institution.
Method
The investigators reviewed theirr experience at Greys Hospital, Pietermaritzburg. This was a retrospective review of all paediatric patients who had undergone an IVGT graft procedure for biliary tract anatomical obstruction in the past five years. The investgators looked at the indications for surgery, the demographic profile of the patients, outcomes following surgery and outlined the surgical technique used.
22 studies on the registry are indexed under Choledochal Cyst; 10 are open to participants now.
This study's enrollment of 8 is below the median of 400 across 14 observational studies indexed under Choledochal Cyst.
Browse Choledochal Cyst studies →University of KwaZulu is the lead sponsor of 34 studies on the registry; 4 are open to participants now.
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This was a retrospective review of all paediatric patients at Greys Hospital who had undergone an IVGT graft procedure for biliary tract anatomical obstruction in the past five years
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Exclusion Criteria:
This was a retrospective review of all paediatric patients who had undergone an IVGT graft procedure for biliary tract anatomical obstruction in the past five years. We looked at the indications for surgery, the demographic profile of the patients, outcomes following surgery and outlined the surgical technique used.
Procedure: Isolated Vascularized Gastric Tube (IVGT) graft
A conduit was created by tubularising a vascularized segment of the greater curve of the antrum of the stomach and this was used between the remaining common hepatic duct and the duodenum.
Bile drainage
Effectiveness of procedure to allow drainage of bile into the bowel.
Time frame: 30 days
Complications of procedure
What complications were encountered following the procedure
Time frame: 30 days
Complications
What were the long term complications
Time frame: 1 year
Plan to share: No — Data will be retained by researchers and ade available on request.
No publications or documents are linked to this record.
Ran from Jan 2005 to primary completion in Jan 2020, 180 months.
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This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.
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University of KwaZulu