Early Reversal of Defunctioning Stoma Trial (ELSOR)
Recruitment status was Recruiting
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Purpose
In this trial will be investigated if a defunctioning loop stoma used in low anterior resection of the rectum for cancer can be reversed after 14 days instead of 3-12 months which is present clinical practise.
| Condition | Intervention |
|---|---|
|
Rectal Cancer |
Procedure: Reversal of defunctioning stoma |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Early Reversal of Defunctioning Stoma Trial |
- Reversal of defunctioning loop stoma on postoperative day 14 following low anterior resection of the rectum for cancer with or without preoperative adjuvant treatment [ Time Frame: Preoperatively, postoperative day 7, postoperative day 30 and at 6 months postoperatively ] [ Designated as safety issue: Yes ]
- Postoperative 30 day morbidity. Postoperative ano-rectal function at 1 and 6 months. [ Time Frame: Postoperatively at 1 and 6 months. ] [ Designated as safety issue: Yes ]
Biospecimen Retention: Samples Without DNA
Analysis of serum C-Reactive Protein (CRP) and Procalcitonin (PCT).
| Estimated Enrollment: | 20 |
| Study Start Date: | February 2008 |
| Estimated Study Completion Date: | November 2009 |
| Estimated Primary Completion Date: | April 2009 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
I
Twenty consecutive patients operated on with low anterior resection of the rectum for cancer with a defunctioning stoma who accept participation.
|
Procedure: Reversal of defunctioning stoma
Reversal of defunctioning stoma
|
Detailed Description:
Patients undergoing low anterior resection of the the rectum for adenocarcinom (total mesorectal excision; TME) with a defunctioning loop stoma are assessed preoperatively and for 6 days postoperatively according to a trial protocol including daily clinical, physiological, and serological variables, and a rectal contrast study on day 6. If inclusion criteria are fulfilled, a decision is taken on day 7 to schedule reversal of the defunctioning loop stoma on postoperative day 14. This trial is considered a hypothesis generating pilot study of feasibility type and is no power calculation. The present trial will include 20 consecutive patients who accept participation.
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Twenty patients operated on with low anterior resection of the rectum for cancer and a defunctioning loop stoma.
Inclusion Criteria:
- Written consent and fulfilled inclusion criteria preoperatively and during postoperative day 1-6.
Exclusion Criteria:
- Written consent and/or inclusion criteria not fulfilled preoperatively and during postoperative day 1-6.
Contacts and Locations| Contact: Peter Matthiessen, MD, PhD | 0046 19 602 20 76 | peter.matthiessen@orebroll.se |
| Sweden | |
| Department of Surgery, Örebro University Hospital | Recruiting |
| Örebro, Sweden, 701 85 | |
| Contact: Rickard Lindgren, MD 0046 19 602 10 00 rickard.lindgren@orebroll.se | |
| Principal Investigator: | Peter Matthiessen, MD, PhD | Department of Surgery, Örebro University Hospital |
More Information
No publications provided
| Responsible Party: | Peter Matthiessen, MD, PhD, Department of Surgery, Örebro University Hospital, 701 85 Örebro |
| ClinicalTrials.gov Identifier: | NCT00640913 History of Changes |
| Other Study ID Numbers: | Ö 109-07 |
| Study First Received: | March 10, 2008 |
| Last Updated: | March 19, 2008 |
| Health Authority: | Sweden: Regional Ethical Review Board |
Keywords provided by Rectal Cancer Trial on Defunctioning Stoma Study Group:
|
Defunctioning stoma Low anterior resection TME surgery Early stoma reversal |
Additional relevant MeSH terms:
|
Rectal Neoplasms Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site |
Neoplasms Digestive System Diseases Gastrointestinal Diseases Intestinal Diseases Rectal Diseases |
ClinicalTrials.gov processed this record on May 22, 2013