Crohn’s ileal disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patient = 18 years old Patient with end-stage ileal Crohn's disease (regardless of phenotype) requiring ileocaecal resection 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 30 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 11
Exclusion criteria
Exclusion criteria: - Patients with Crohn's disease operated on urgently for peritonitis - Patient with a contraindication to the injection of fluorescein (allergy to fluorescein, severe allergy to a drug, moderate to severe renal insufficiency, hepatic insufficiency, history of cardiopulmonary disease, diabetes, concomitant treatments (in particular beta-blockers , including beta-blockers in eye drops)).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: to evaluate the intraoperative use of Cellvizio (using the CelioFlex microsonde) with an intravenous injection of fluorescein to determine the best ileal resection margins in Crohn disease.;Secondary Objective: Evaluate the interest of Cellvizio with the intravenous injection of fluorescein intraoperatively (concordance with the anatomopathology): - for the study of the ileal serosa for (search for transmural Crohn's disease) - to assess whether or not the resected mesentery is inflammatory Assess the additional bowel length that would need to be resected to be microscopically healthy at the margin. To constitute a video collection of the different healthy and pathological aspects of the hail (mucosa, serosa) but also of the mesentery;Primary end point(s): is the microscopically healthy or inflammatory character of the ileal mucosal section margin for Cellvizio and pathology.;Timepoint(s) of evaluation of this end point: The day of surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The concordance between the Cellvizio with an intravenous injection of fluorescein and the pathology for the inflammation of the serosa (transmural inflammation) and of the mesentery and the length of ileum (in cm) between the surgical margin and the theorical resection site to be in a non-inflammatory area at the Cellvizio (on the mucosa and on the serosa)..;Timepoint(s) of evaluation of this end point: The day of surgery | — |
Countries
France
Contacts
CHU Amiens-Picardie