Emergency Surgery Versus Colorectal Stents for the Management of Malignant Colonic Obstructions

Zaza Demetrashvili

Status: Completed

Conditions: Colorectal Cancer

Treatments: Procedure: Emergency surgery; Procedure: Colonic stenting

Study type: Interventional

Funder types: Other

Identifiers

NCT04449822

07122017

Details and patient eligibility

About

The study evaluates and compares effect of emergency surgery and colonic stents for treatment of malignant colonic obstructions.

Full description

Acute colonic obstruction is one of the common clinical presentations of colorectal cancer. Surgical decompression with colostomy with or without resection and eventual re-anastomosis is the treatment of choice; however, emergency surgery is associated with higher morbidity and mortality.

The colonic stent insertion effectively decompressed the obstructed colon and avoid needs of emergency surgery. This method is a palliation and bridge to surgery. Colonic stents allowed surgery to be performed electively.

Enrollment: 40 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient with malignant colorectal obstructions.
• Patient's approval to participate in the study.

Exclusion criteria

• Patient's preference for either treatment method.
• Patient's refusal to participate in the study.
• Patients in the ASA group 4 and 5.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Emergency surgery

Active Comparator group

Description:

Surgical decompression with colostomy with or without resection and eventual re-anastomosis.

Treatment:

Procedure: Emergency surgery

Colonic stenting

Active Comparator group

Description:

The colonic stent placement

Treatment:

Procedure: Colonic stenting