Emergency Surgery Versus Colorectal Stents for the Management of Malignant Colonic Obstructions
- Conditions
- Colorectal Cancer
- Registration Number
- NCT04449822
- Lead Sponsor
- Zaza Demetrashvili
- Brief Summary
The study evaluates and compares effect of emergency surgery and colonic stents for treatment of malignant colonic obstructions.
- Detailed 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
- Patient with malignant colorectal obstructions.
- Patient's approval to participate in the study.
- Patient's preference for either treatment method.
- Patient's refusal to participate in the study.
- Patients in the ASA group 4 and 5.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method The time of clinical relieve of obstruction 24 hours after surgery/procedure
- Secondary Outcome Measures
Name Time Method operation time during surgery/procedure duration of surgery/procedure
Stent related complications time of hospital stay, an average 10 day. perforation, migration, stent obstruction
Mortality 30 day after surgery/procedure 30-day mortality
Overall complications 30 day after surgery/procedure complications which developed in postoperative period
Blood loss time of surgery/procedure Blood loss during emergency surgery or during colonic stenting.
Trial Locations
- Locations (1)
Tbilisi State Medical University
🇬🇪Tbilisi, Yes, Georgia
Tbilisi State Medical University🇬🇪Tbilisi, Yes, Georgia