Acute Colon Resection Versus Bridge to Colon Surgery With Stent or Stoma

  • STATUS
    Recruiting
  • End date
    Dec 31, 2031
  • participants needed
    1000
  • sponsor
    Skane University Hospital
Updated on 19 February 2024
cancer
metastasis
colon cancer
obstruction
colon operation
colon resection
intestinal obstruction

Summary

P patients with acute obstructive colon cancer I resection or bridge to surgery with stent or stoma C emergency procedure O morbidity and mortality within 30 days, 90 day mortality and 3 & 5 years overall survival

Description

The aim of this prospective observational study is to evaluate primary resection for malignant obstruction of the colon compared to only decompression as first intervention regarding postoperative outcomes. We hypothesize that patients with malignant obstruction benefit from avoidance of emergency cancer resection, by a two-stage procedure, with decompression by a stoma or stent as first intervention, leading to decreased short-term morbidity and mortality and improved long-term oncological outcome.

Details
Condition Colorectal Cancer, Colorectal Cancer, Malignant neoplasm of colon, colon cancer, colon cancer
Age 18years - 100years
Treatment Bridge to Surgery (stent or stoma)
Clinical Study IdentifierNCT04450758
SponsorSkane University Hospital
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Age >18 years
Symptomatic large bowel obstruction requiring acute intervention
CT-verified colon obstruction due to colon cancer independent of presence of metastases

Exclusion Criteria

Colonic perforation or bleeding
Colonic obstruction of other origin than colon cancer
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