Dumping Syndrome After Operation of Esophageal Atresia Type III (DUMPING)
Frequency of Occurrence of Dumping Syndrome After Operation of Esophageal Atresia Type III
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Bordeaux, France
- Hôpital Pellegrin - Hôpital d'Enfants,
-
Grenoble, France
- CHU Grenoble
-
Lille, France
- Hôpital Jeanne de Flandre CHRU
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Lyon, France
- Hôpital Edouard Herriot,Unité d'Hépatogastroentérologie et Nutrition Pédiatriques
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Nantes, France
- CHU Nantes
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Paris, France
- AP-HP, Hôpital Necker
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Paris, France
- Hôpital Robert Debré ,Service de chirurgie viscérale et urologique
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Rouen, France
- CHU Rouen
-
Strasbourg, France
- CHU Strasbourg
-
Toulouse, France
- CHU Toulouse, Hôpital Enfant
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- New born less than 3.5 months or age corrected for premature new born
- Weight ≥ 4, 150 kg
- Esophageal atresia (EA) type III or IV
- EA Surgery between May 2013 and June 2016
- Stop of prokinetic treatment > 72 h before OGTT
- Information and consent of parents
- Patients with health insurance
Exclusion Criteria:
- Age > 3.5 months
- Weight < 4.150 kg
- Other types of EA
- Dumping syndrom from other origin: microgastria, dysautonomia, small intestine surgery
- Other pathology that can modify glycemia: neonatal diabete, hyperinsulinism
- Treatment that can modify gastric motility: domperidone, erythromycin, baclofen that hasn't been stopped in the 72h before OGTT
- Absence of consent
- Patient judiciary protected
- Simultaneous participation to another clinical trial
- No health insurance
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Every EA patients
This is a one group interventional study.
Every patient is included in the same arm.
|
1.75g/kg of glucose is orally taken by the patient.
Capillary glycemia is systematically realised before ingestion (H0) and after 30, 60, 90, 120, 180 and 240 min and/or if clinical signs of hypoglycemia are presented by the patient.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Early hyperglycemia during Oral Glucose Tolerance Test (OGTT)
Time Frame: up to 240 min
|
Hypoglycemia : glycemia < 0,6 g/L
|
up to 240 min
|
|
Late hypoglycemia during OGTT
Time Frame: up to 240 min
|
Hyperglycemia : > 1,8g/L from H0 to 30 min after oral intake, > 1.7 between 1 and 2 h ours, > 1.4 between 2 and 3 h , > 1, 26 after 3 h |
up to 240 min
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinical signs presenting consequently to OGTT
Time Frame: continuous monitoring during 240 minutes
|
frequent clinical reflux (>3/day), suspicion of esophagitis (pain while eating), colics, post-prandial diarrhea (liquid stools in the first hour after meal), abdominal pain, flatulence, pallor, hypotonia, agitation, convulsions, somnolence, sweat
|
continuous monitoring during 240 minutes
|
|
Associated pathologies
Time Frame: 1 day
|
neurologic, extremities, ribbs and vertebrales, genito-urinary, renal, cardiovascular, ano-rectal, microgastria and others.
Syndromic associations are also noted, as VACTERL and charge syndroms.
|
1 day
|
|
Surgery details
Time Frame: 1 day
|
postponed anastomosis, difficulty or tension in the suture, colic or gastric plasty if needed, tracheoscopy realisation, visualisation or damage of the X nerve, observation of a microgastria during surgery, other relevant informations of surgery
|
1 day
|
|
Post-surgery complications
Time Frame: 1 day
|
anastomotic leakage, mediastinitis
|
1 day
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Laurent Michaud, MD, University Hospital, Lille
Publications and helpful links
General Publications
- Bufler P, Ehringhaus C, Koletzko S. Dumping syndrome: a common problem following Nissen fundoplication in young children. Pediatr Surg Int. 2001 Jul;17(5-6):351-5. doi: 10.1007/s003830000525.
- Samuk I, Afriat R, Horne T, Bistritzer T, Barr J, Vinograd I. Dumping syndrome following Nissen fundoplication, diagnosis, and treatment. J Pediatr Gastroenterol Nutr. 1996 Oct;23(3):235-40. doi: 10.1097/00005176-199610000-00006.
- Zung A, Zadik Z. Acarbose treatment of infant dumping syndrome: extensive study of glucose dynamics and long-term follow-up. J Pediatr Endocrinol Metab. 2003 Jul-Aug;16(6):907-15. doi: 10.1515/jpem.2003.16.6.907.
- Ng DD, Ferry RJ Jr, Kelly A, Weinzimer SA, Stanley CA, Katz LE. Acarbose treatment of postprandial hypoglycemia in children after Nissen fundoplication. J Pediatr. 2001 Dec;139(6):877-9. doi: 10.1067/mpd.2001.119169.
- Michaud L, Sfeir R, Couttenier F, Turck D, Gottrand F. Dumping syndrome after esophageal atresia repair without antireflux surgery. J Pediatr Surg. 2010 Apr;45(4):E13-5. doi: 10.1016/j.jpedsurg.2010.01.016.
- Holschneider P, Dubbers M, Engelskirchen R, Trompelt J, Holschneider AM. Results of the operative treatment of gastroesophageal reflux in childhood with particular focus on patients with esophageal atresia. Eur J Pediatr Surg. 2007 Jun;17(3):163-75. doi: 10.1055/s-2007-965087.
- Aumar M, Gottrand F, Chalouhi C, Blanc S, Thomassin N, Piloquet H, Gastineau S, Schneider A, Krishnan U, Duvoisin G, Turck D, Coopman S, Michaud L. Frequency of Abnormal Glucose Tolerance Test Suggestive of Dumping Syndrome Following Oesophageal Atresia Repair. J Pediatr Gastroenterol Nutr. 2020 Jun;70(6):820-824. doi: 10.1097/MPG.0000000000002651.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Postoperative Complications
- Pathologic Processes
- Metabolic Diseases
- Digestive System Diseases
- Gastrointestinal Diseases
- Stomach Diseases
- Glucose Metabolism Disorders
- Esophageal Diseases
- Congenital Abnormalities
- Digestive System Abnormalities
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Postgastrectomy Syndromes
- Hyperglycemia
- Esophageal Atresia
- Dumping Syndrome
- Carbohydrates
- Sugars
- Hexoses
- Monosaccharides
- Glucose
Other Study ID Numbers
Other Study ID Numbers
- 2009_42/1004
- 2010-A00217-32 (Other Identifier: ID-RCB number, ANSM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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