Early Closure of Temporary Loop Ileostomy After Rectal Resection for Cancer

NCT ID: NCT01865071

Last Updated: 2014-02-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2015-10-31

Brief Summary

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Early Closure of Temporary Loop Ileostomy After Rectal Resection for cancer

Detailed Description

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The aim of this prospective randomized study is to compare early vs. late closer of the protecting ileostoma in patients requiring rectal resection for rectal cancer.

Early closer is defined as postoperative days 8-12 and delayed as later then 3 months.

Inclusion criteria is aged 18 years or older with rectal carcinoma, requiring rectal resection with a protecting ileostoma.

A CT-water-soluble contrast enema examination per rectum is performed at day 7, to evaluate the anastomosis in all patients. The patients will be randomized after the "intention-to-treat" principle, before the primary operation.

If there is no radiologic signs of contrast leakage ore other contraindications for early closer as septic episodes ore missing bowl movements the early closure will be preformed.

Primary end point is the rate of either postoperative death or postoperative complications occurring at 90 days after the rectal resection.

Major and minor postoperative complications (anastomotic leakage, post operative death, anastomotic fistula, postoperative peritonitis, pneumonia etc) and stoma related complications (prolapsus or peristomial eventration, erosive peristomal dermatitis, dehydration with hydroelectrolytic disorders, occlusive syndrome) would be registered.

LARS score and EORTC QLQ-30 will be sent preoperatively and after 3, 6, 12 and 24 months postoperatively.

Conditions

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Rectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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loop ileostomi

Compare early vs. late closer of the protecting ileostoma in patients requiring rectal resection for rectal cancer

Group Type EXPERIMENTAL

loop ileostomi

Intervention Type PROCEDURE

Interventions

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loop ileostomi

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* All patients aged 18 years or older.
* All patients with rectal carcinoma, requiring elective rectal resection with primary anastomosis and an protecting ileostoma
* Written informed consent was obtained from all patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Odense University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Mark Ellebaek Pedersen

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mark Ellebæk, MD

Role: PRINCIPAL_INVESTIGATOR

Odense Universityhospital

Locations

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Odense Universityhospital

Odense, Fyn, Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Mark Ellebæk, MD

Role: CONTACT

004540880511

Facility Contacts

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Mark Ellebæk, MD

Role: primary

004540880511

References

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Ellebaek MB, Perdawood SK, Steenstrup S, Khalaf S, Kundal J, Moller S, Bang JC, Stovring J, Qvist N. Early versus late reversal of diverting loop ileostomy in rectal cancer surgery: a multicentre randomized controlled trial. Sci Rep. 2023 Apr 10;13(1):5818. doi: 10.1038/s41598-023-33006-4.

Reference Type DERIVED
PMID: 37037856 (View on PubMed)

Other Identifiers

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S-20110026

Identifier Type: -

Identifier Source: org_study_id

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