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CompletedNCT07088575Updated Jul 28, 2025

Practice of Deep Venous Thrombosis Prophylaxis and Its Incidence in Patients Undergoing Gastrointestinal and Hepatobiliary Surgery

An observational study in Gastrointestinal, sponsored by Maharajgunj Medical Campus. Completed at 1 site in Nepal. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-28.

Sponsored by Maharajgunj Medical Campus · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
1,530
Ages
18 Years and older
Sex
All
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Study summary

Recent studies from Asia have reported a wide variation in the incidence of deep vein thrombosis (DVT), ranging from 5% to 50% in patients undergoing major abdominal surgery. However, data specific to the Nepalese population remains unavailable. This study aims to evaluate current thromboprophylaxis practices and determine the incidence of DVT in Nepalese adults undergoing gastrointestinal and hepatobiliary surgery.

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Conditions studied

  • Gastrointestinal
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In context

Lead sponsor

Maharajgunj Medical Campus is the lead sponsor of 8 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population consisted of adult patients aged >18 years who underwent major gastrointestinal or hepatobiliary surgery under general anesthesia at a tertiary referral center in Nepal. Patients were identified retrospectively through departmental audit records from the Department of Surgical Gastroenterology between October 2021 and April 2024. Major surgery was defined as any operative intervention involving the abdominal or hepatobiliary region requiring general anesthesia. Surgical procedures were categorized by organ system into upper gastrointestinal, hepatopancreatobiliary (HPB), colorectal, and other (e.g., small intestine, retroperitoneum, abdominal wall). Patients with a recent history of venous thromboembolism (VTE), known hypercoagulable conditions, atrial fibrillation, ongoing cancer therapy, pregnancy, or incomplete clinical data were excluded from the study. Data collected included demographic, clinical, intraoperative, and postoperative variables relevant to thromb

Inclusion criteria

  • Adults aged >18 years
  • Underwent major gastrointestinal or hepatobiliary surgery
  • Surgery performed under general anesthesia
  • Major surgery defined as any operative intervention in the abdominal or hepatobiliary region requiring general anesthesia

Exclusion criteria

Exclusion Criteria:

  • History of VTE within 3 months before surgery
  • Known hypercoagulable state or congenital thrombophilia
  • Diagnosis of atrial fibrillation
  • Undergoing systemic cancer chemotherapy or radiotherapy within the past 15 days
  • Pregnant or lactating women
  • Missing information in clinical records
  • Non-operated patients or those receiving conservative management
  • Patients undergoing liver transplantation
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
1,530 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients >18 years who underwent major gastrointestinal or hepatobiliary surgery

    Procedure: major gastrointestinal or hepatobiliary surgery under general anesthesia

Interventions

  • Proceduremajor gastrointestinal or hepatobiliary surgery under general anesthesia

    major gastrointestinal or hepatobiliary surgery under general anesthesia

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What researchers measure

Primary outcomes

  1. Use of Thromboprophylaxis and Incidence of DVT in Major GI and Hepatobiliary Surgeries

    This outcome assesses the proportion of patients receiving appropriate thromboprophylaxis, as well as the incidence of deep vein thrombosis (DVT) among individuals undergoing major gastrointestinal and hepatobiliary surgeries. Data will be collected to evaluate adherence to prophylaxis guidelines and to determine the effectiveness of thromboprophylactic measures in preventing DVT in this surgical population.

    Time frame: From date of surgery until hospital discharge or up to 30 days postoperatively, whichever occurs first

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Study locations

1 site
  • Maharajgunj Medical Campus
    Kathmandu, Nepal
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References and documents

Individual participant data

Plan to share: Yes — De-identified individual participant data (IPD) related to demographic characteristics, surgical details, thromboprophylaxis use, and DVT outcomes will be shared. This includes preoperative, intraoperative, and postoperative variables as collected in the study.

Supporting information: Sap, Analytic code

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07088575
Lead sponsor
Maharajgunj Medical Campus
Responsible party
Prajjwol Luitel (Principal Investigator, Maharajgunj Medical Campus) — Principal investigator
First posted
Jul 28, 2025
Start date
May 23, 2024
Primary completion
Jul 21, 2024
Completion
Jul 24, 2024
Last update
Jul 28, 2025

Study contacts

Prajjwol Luitel, MBBS
principal investigator · Maharajgunj Medical Campus

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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