Rectal stump management after subtotal colectomy for severe colitis

Rectal stump management after subtotal colectomy for severe colitis patients: Does in-situ or extra-fascial placement affect complications?

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12619000096156

Enrollment

Registered

2019-01-23

Start date

2018-04-01

Completion date

2018-10-01

Last updated

2019-01-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The primary purpose of this study was to evaluate the current practice at a single inflammatory bowel (IBD) tertiary referral center, in order to identify the optimal surgical and medical management of the rectal stump after an subtotal colectomy for severe colitis. We hypothesize that an extra-fascial management of the rectal stump will have lower complication rates compared to an in-situ management of the rectal stump.

Interventions

Patients were either operated with the rectal stump left in-situ or extra-fascially. Our study then measured 30 day postoperative outcomes (pelvic and systemic sepsis, wound infection, overall complications) and mortality rates after different rectal stump management techniques in subtotal colectomy for severe colitis.

Eligibility

Sex/Gender

All

Age

16 Years to No maximum

Healthy volunteers

Inclusion criteria

Patients who underwent an open or laparoscopic subtotal colectomy for severe colitis (including acute severe ulcerative colitis) at Royal Adelaide Hospital (RAH) in Adelaide, South Australia, over a 15-year period between January 1993 and August 2018.

Exclusion criteria

Patients younger than 16 years old, Patients who had proctocolectomy Patients who had primary single-stage reconstructive surgery forming an ileorectal anastomosis (IRA) or ileal pouch anal anastomosis (IPAA) Patients with missing operative or outcome data.

Outcome results