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临床试验/NCT02174926
NCT02174926进行中(未招募)不适用

LASER Trial. LAparoscopic Elective Sigmoid Resection Following divERticulitis - a Multicenter, Prospective, Randomized Clinical Trial

Helsinki University Central Hospital11 个研究点 分布在 1 个国家目标入组 133 人开始时间: 2014年9月最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
133
试验地点
11
主要终点
Gastrointestinal quality of life-index change at 6 months

研究概览

简要总结

The purpose of this study is to find out whether elective sigmoid resection will improve quality of life compared to conservative treatment with lifestyle guidance and fiber supplement in patients with a recurrent or complicated diverticulitis.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Recurrent left colon diverticulitis (minimum 3 within 2 years, at least 1 confirmed with CT)
  • Earlier complicated left colon diverticulitis
  • Prolonged (over 3 months) pain or disturbance in bowel habits after a CT-confirmed left colon diverticulitis

排除标准

  • Multimorbidity that prevents elective surgery
  • Contraindication to laparoscopy
  • Colonic stricture
  • Fistula (e.g. colocutaneous, colovaginal, colovesical)
  • Active malignancy
  • Earlier resection of sigmoid colon or rectum
  • Acute diverticulitis that has not settled
  • Colonoscopy/sigmoidoscopy/virtual colonoscopy not performed within 2 years
  • Age < 18 or > 75 years
  • Pregnancy
  • Inability to answer health surveys (e.g. dementia, psychiatric condition)

结局指标

主要结局

Gastrointestinal quality of life-index change at 6 months

时间窗: 6 months from randomization

Difference in gastrointestinal quality of life-index (GIQLI) at randomization and 6 months from randomization.

次要结局

  • GIQLI at 12, 24, 48, and 96 months(12, 24, 48, and 96 months from randomization)
  • Short form (SF) 36 Health survey score at 6, 12, 24, 48, and 96 months(6, 12, 24, 48, and 96 months from randomization)
  • Recurrence and severity of recurrent diverticulitis(0 - 96 months from randomization)
  • Need of emergency surgery due to diverticulitis(0 - 96 months from randomization)
  • Need of elective sigmoid resection due to diverticulitis (conservative arm)(0 - 96 months from randomization)
  • Complications due to elective sigmoid resection(0 - 96 months from randomization)
  • Mortality(0 - 96 months)
  • Complications of diverticular disease(0 - 96 months)
  • Stoma rate(0 - 96 months from randomization)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Ville Sallinen

M.D., Ph.D.

Helsinki University Central Hospital

研究点 (11)

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