Surgical Prevention of Anastomotic Recurrence by Excluding Mesentery in Crohn's Disease

NCT ID: NCT02631967

Last Updated: 2017-02-15

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

132 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-30

Study Completion Date

2022-11-30

Brief Summary

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Kono and collegues have described a new anastomotic technique to restore bowel contintuity after ileocecal resection for Crohn's disease (CD).

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.

Detailed Description

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Conditions

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Crohn Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Kono anastomosis

Patients receiving Kono anastomosis

Group Type EXPERIMENTAL

Kono anastomosis

Intervention Type PROCEDURE

Kono anastomosis

Stapled side-to-side anastomosis

Patients receiving stapled side-to-side anastomosis

Group Type EXPERIMENTAL

Stapled side-to-side anastomosis

Intervention Type PROCEDURE

Stapled side-to-side anastomosis

Interventions

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Kono anastomosis

Kono anastomosis

Intervention Type PROCEDURE

Stapled side-to-side anastomosis

Stapled side-to-side anastomosis

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with Crohn's disease requiring ileocecal resection

Exclusion Criteria

* age \> 75 years
* age \< 18 years
* inability to give the consent to the participation in the trial
* refusal to participate in the trial after receiving accurate information
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Federico II University

OTHER

Sponsor Role lead

Responsible Party

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Luigi Bucci

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

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

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Luigi Bucci, Prof

Role: CONTACT

00390817462850

Facility Contacts

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Luigi Bucci, Prof

Role: primary

00390817462850

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.

Reference Type BACKGROUND
PMID: 21471760 (View on PubMed)

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.

Reference Type DERIVED
PMID: 32675483 (View on PubMed)

Other Identifiers

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211/15

Identifier Type: -

Identifier Source: org_study_id

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