The Influence of Biologcal Treatment on the Short-Term Complications of Surgery in Patients With Inflematory Bowel Disease.

NCT ID: NCT03747068

Last Updated: 2018-11-20

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

COMPLETED

Total Enrollment

130 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-10-09

Study Completion Date

2015-10-09

Brief Summary

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BACKGROUND: Previous studies of short-term surgical outcomes after preoperative exposure to anti-TNF therapy in ulcerative colitis (UC) patients who have undergone IPAA have been conflicting. We sought to determine whether preoperative exposure to anti-TNF therapy affects histological measures of fibrosis in the colorectum, which may be a potential factor in adverse anastomosis complications following IPAA surgery.

METHODS: Individuals who received infliximab as maintenance therapy and who received their last dose within 180 days of the first stage of IPAA were selected. The control group comprised UC patients who were not exposed to anti-TNF therapy, matched by age, sex, BMI, disease duration, albumin levels, and post-operative leak outcome. Hematoxylin and eosin- (H\&E) and trichrome-stained slides from the most distal, well-oriented, full-thickness section of colorectum from each patient's total colectomy specimen were evaluated. Blinded assessment of the degree of fibrosis in the lamina propria, the submucosa, the submucosa immediately adjacent to the muscularis propria, and the subserosa was performed by a single observer using a semi-quantitative pictorial scale.

Detailed Description

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Conditions

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Ulcerative Colitis Anti TNF Therapy Ileal Pouch Anal Anastomosis (IPAA)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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anti-TNF

UC patients treated with maintenance anti-TNF therapy who underwent IPAA surgery

Anti-TNF Drug

Intervention Type DRUG

CONTROL GROUP

UC patients who were not exposed to anti-TNF therapy

No interventions assigned to this group

Interventions

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Anti-TNF Drug

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* all individuals with IBD who underwent IPAA from January 2002 to June 2013 were reviewed .

Exclusion Criteria

* Patients with CD
* Patients without adequate clinical records documenting the 30-day postoperative clinical outcomes .
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mount Sinai Hospital, Canada

OTHER

Sponsor Role collaborator

University of Toronto

OTHER

Sponsor Role collaborator

HaEmek Medical Center, Israel

OTHER

Sponsor Role lead

Responsible Party

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Eran Zittan

Director of IBD unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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09-0218-E

Identifier Type: -

Identifier Source: org_study_id

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