Crohns Disease undergoing elective surgery for intestinal stenosis. MedDRA version: 14.1 Level: PT Classification code 10058829 Term: Elective surgery System Organ Class: 10042613 - Surgical and medical procedures MedDRA version: 14.1 Level: PT Classification code 10059696 Term: Scan with contrast System Organ Class: 10022891 - Investigations MedDRA version: 14.1 Level: PT Classification code 10011401 Term: Crohn's disease System Organ Class: 10017947 - Gastrointestinal disorders MedDRA vers
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Crohns Disease Referred to elective surgery for intestinal stenosis Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 24 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 1
Exclusion criteria
Exclusion criteria: Female subjects who are pregnant ore breastfeeding. Contraindications for MRI with Dotarem Contraindications for Sonovue Discontinued surgery Stenosis not detectable by MRI and US.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Main objective: To evaluate if intestinal wall perfusion, elasticity or peristaltics in patients with CD assessed with the modalities a) dynamic MRI, b) Contrast Enhanced UltraSound (CEUS) or c) Elastography UltraSound (EUS) are correlated to the degree of active or chronic disease and stiffness of tissue. ;Secondary Objective: Secondary objective: To evaluate which parameters obtained from intestinal wall perfusion, elasticity or peristaltics in patients with CD assessed with the modalities a) dynamic MRI, b) Contrast Enhanced UltraSound (CEUS) or c) Elastography UltraSound (EUS), as well as postsurgery degree of active or chronic disease and stiffness of tissue that correlates to bloodsamples, fecalsamples and questionnaire results.;Primary end point(s): Preoperative evaluation with MRI, CEUS and EUS will be compared to postoperative specimen degree of 1) Active disease (assessed by histomorphometry and histoligyscore), 2) Chronic disease (assessed by histomorphometry, histologyscore and hydroxyprolin) 3) distensibility (assesses by impedance planimetry). ;Timepoint(s) of evaluation of this end point: At time of surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): C-reactive protein (blood sample), Calprotectin (stool sample), Crohns Disease Activity Index and Harvey-Bradshaw Index (questionnaire). ;Timepoint(s) of evaluation of this end point: At time of surgery and at time of imaging - no more than 4 weeks prior to surgery. | — |
Countries
Denmark
Contacts
Regionshospitalet Silkeborg