Surgical Prevention of Anastomotic Recurrence by Excluding Mesentery in Crohn's Disease
NCT ID: NCT02631967
Last Updated: 2017-02-15
Study Results
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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UNKNOWN
NA
132 participants
INTERVENTIONAL
2015-11-30
2022-11-30
Brief Summary
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This tecnique implies a hand-sewn ileocolic anastomosis, that involves exclusively the antimesenteric side of the bowel and that functionally acts as an end-to-end anastomosis.
In a retrospective study, the authors have shown that this anastomotic tecnique, when compared to stapled side-to-side anastomosis, significantly reduces the severity of endoscopic recurrence at 1 year after surgery and the rate of reoperation for anastomotic recurrence at 5 years after surgery.
Aim of this trial is to compare the outcomes of the Kono anastomosis with the ones achieved by the stapled side-to-side anastomosis, within a prospective randomized study.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Kono anastomosis
Patients receiving Kono anastomosis
Kono anastomosis
Kono anastomosis
Stapled side-to-side anastomosis
Patients receiving stapled side-to-side anastomosis
Stapled side-to-side anastomosis
Stapled side-to-side anastomosis
Interventions
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Kono anastomosis
Kono anastomosis
Stapled side-to-side anastomosis
Stapled side-to-side anastomosis
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* age \< 18 years
* inability to give the consent to the participation in the trial
* refusal to participate in the trial after receiving accurate information
18 Years
75 Years
ALL
No
Sponsors
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Federico II University
OTHER
Responsible Party
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Luigi Bucci
Professor
Principal Investigators
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Luigi Bucci, Prof
Role: PRINCIPAL_INVESTIGATOR
Federico II University of Naples
Locations
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UOC Colonproctologia Chirurgica - Dipartimento di Medicina Clinica e Chirurgia - UniversitĂ degli Studi di Napoli Federico II
Napoli, , Italy
Countries
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Central Contacts
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Facility Contacts
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References
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Kono T, Ashida T, Ebisawa Y, Chisato N, Okamoto K, Katsuno H, Maeda K, Fujiya M, Kohgo Y, Furukawa H. A new antimesenteric functional end-to-end handsewn anastomosis: surgical prevention of anastomotic recurrence in Crohn's disease. Dis Colon Rectum. 2011 May;54(5):586-92. doi: 10.1007/DCR.0b013e318208b90f.
Luglio G, Rispo A, Imperatore N, Giglio MC, Amendola A, Tropeano FP, Peltrini R, Castiglione F, De Palma GD, Bucci L. Surgical Prevention of Anastomotic Recurrence by Excluding Mesentery in Crohn's Disease: The SuPREMe-CD Study - A Randomized Clinical Trial. Ann Surg. 2020 Aug;272(2):210-217. doi: 10.1097/SLA.0000000000003821.
Other Identifiers
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211/15
Identifier Type: -
Identifier Source: org_study_id
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