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Multi-Interventional program for prevention and early Management of Anastomotic leakage after total mesorectal excision in Rectal cancer patIents, the IMARI-trial

Conditions
Anastomotic leakage after rectal cancer surgery
Registration Number
NL-OMON26456
Lead Sponsor
Prof. dr. P.J. Tanis, Surgeon, Academic Medical Center, University of Amsterdam, the Netherlands
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
488
Inclusion Criteria

1) Patients with a diagnosis of primary rectal cancer with the lower border below the level of the sigmoid take-off on MRI, or regrowth in a watch and wait protocol, or undergoing completion/salvage surgery after local excision;
2) Age above 18;
3) Able to fill in questionnaires in Dutch and to come to out-patient-clinic visits;
4) Written informed consent.

Exclusion Criteria

1) Patients not undergoing resection with colo-rectal/anal anastomosis;
2) Local recurrent rectal cancer;
3) Locally advanced rectal cancer requiring extended or multi-visceral excision;
4) Synchronous colonic resections;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary endpoint of the IMARI-trial is anastomotic integrity at one year postoperative.
Secondary Outcome Measures
NameTimeMethod
The most important secondary aim is to determine the impact on the incidence of AL within 30 and 90 days and one year post-operation. Other outcomes include quality of life, protocol compliance, changes in rectal microbiome, FA details and other postoperative outcomes.
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