Outcomes of Different Surgical Procedures After High Level Resection for Patients With Small Intestinal Gangrene

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAssiut University

About this trial

In this cohort study, aim to evaluate and compare short-term postoperative outcomes of different surgical procedures for patients with intestinal gangrene who underwent high level small bowel resection (\< 150 cm from DJ).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

1) Distance of proximal resection margin less than 150 cm from DJ. 2) Mesenteric vascular ischemia. 3) Strangulating obstruction e.g. due to hernia, volvulus, band, etc.

Disqualifiers

1) Patients less than 18 years. 2) Patients with malignant disease. 3) Patients with almost all small bowel loops resected (< 60 cm remaining).

Trial population

This study is a prospective non-randomized comparative study. Patients who will undergo high level small bowel resection for intestinal gangrene during the period from September 2024 to September 2026 are included.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

40 Participants
are grouped into 4 trial groups
Group A: Group A: Primary anastomosis: using hand sewing technique
Group B: Group B: Primary anastomosis with prophylactic tube enterostomy. Feeding jejunostomy may be inserted
Group C: Group C: Jejunostomy: double barrel stoma.
Group D: Group D: Jejunostomy: double barrel stoma with distal refeeding via the mucous fistula opening.

Trial outcomes

Primary outcomes

1

morality rate

Time frame
within 90 days of surgery

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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