Clinical trial Recruiting at 6 sites Observational Ages 18 to 80

Postoperative Low Oxygen and Chance of Leaks After Esophageal Surgery

Official title: Postoperative Hypoxemia Increases the Risk of Anastomotic Leak After Radical Esophagectomy

Run by Sun Yat-sen University · NCT07309991 · Data updated 2026-11-12

This study looks at whether low oxygen levels after esophageal cancer surgery increase the chance of an anastomotic leak.

More Esophageal Adenocarcinoma trials

Quick facts

Study typeObservational
Ages18 Years to 80 Years
SexAll
Enrollment2500 (estimated)
SponsorSun Yat-sen University
Academic / other
Locations6 sites (Guangzhou, Guangdong and 5 other locations)
StatusRecruiting
StartedJanuary 1, 2021
Main results expectedDecember 1, 2025
Study endsDecember 1, 2026
Registry record updatedJune 16, 2026
Trial IDNCT07309991 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with esophageal carcinoma undergoing radical esophagectomy, who had postoperative ABG data and at least one post-op imaging or endoscopy for the anastomosis.

Probably not a fit

Patients without documented postoperative hypoxemia or without reconstructed esophagus may derive no demonstrated benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational analysis reviews cases from the past five years to see if postoperative hypoxemia (PaO2 < 80 mmHg) is linked to higher rates of esophageal anastomotic leakage. Patients are categorized by whether they had at least one PaO2 reading below 80 mmHg within the first week after surgery, and leakage rates are compared between groups. The study also explores if correcting hypoxemia could reduce leakage risk, using diagnostic methods such as barium swallow, endoscopy, and imaging to confirm leaks. The goal is to determine whether postoperative hypoxemia is an independent and potentially modifiable risk factor. Findings may inform postoperative care and oxygen management after radical esophagectomy.

Why it matters

Potential benefit: If hypoxemia is linked to leaks and is modifiable, adjusting oxygen therapy postoperatively could reduce leak risk and improve recovery.

How similar studies have gone: Previous work has suggested a relationship between postoperative oxygen levels and surgical site complications in thoracic surgery, but this specific association in esophagectomy remains variably demonstrated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients diagnosed with esophageal carcinoma or benign esophageal tumors
* Patients requiring surgical resection of the lesion with subsequent esophageal reconstruction
* Patients must have had at least one postoperative arterial blood gas analysis
* Patients must have routinely undergone at least one of the following for postoperative evaluation of the anastomosis: endoscopy, CT scan, or esophagram

Exclusion Criteria:

* Patients who did not require esophageal reconstruction
* Patients undergoing esophageal replacement with colon
* Patients with incomplete data

Where it's running

  • Department of Thoracic Surgery, Sun Yat-sen University Cancer Center
    Guangzhou, Guangdong, China
    Recruiting
  • Cancer Hospital of Shantou University Medical College
    Shantou, Guangdong, China
    Recruiting
  • The Fourth Hospital of Hebei Medical University and Hebei Tumor Hospital
    Shijiazhuang, Hebei, China
    Recruiting
  • Shanghai Chest Hospital
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Sichuan Cancer Hospital
    Chengdu, Sichuan, China
    Recruiting
  • 0817-2598459
    Nanchong, Sichuan, China
    Recruiting

Study contacts

  • Principal investigator: Hong Yang, M.D. — Department of Thoracic Surgery, Sun Yat-sen University Cancer Center
  • Study coordinator: Hong Yang, M.D.
  • Email: yanghong@sysucc.org.cn
  • Phone: 8613560405144

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.