Proctocolectomy and ileal pouch anal anastomosis: total mesorectal excision versus Close Rectal excision

ISRCTN ISRCTN35140084
DOI https://doi.org/10.1186/ISRCTN35140084
Secondary identifying numbers N/A
Submission date
23/08/2007
Registration date
23/08/2007
Last edited
06/08/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr W.A. Bemelman
Scientific

Academic Medical Centre (AMC)
Department of Surgery
P.O. Box 22660
Amsterdam
1100 DD
Netherlands

Phone +31 (0)20 566 9111
Email W.A.Bemelman@amc.uva.nl

Study information

Study designRandomised, double-blind, active controlled, parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleProctocolectomy and ileal pouch anal anastomosis: total mesorectal excision versus Close Rectal excision
Study acronymClose Rectal
Study objectivesNot much is known about the function of the pouch in relation to the space in which it is situated. At the time of construction the pouch will have a volume of +100 ml expanding over time towards its final volume + 300 ml. These data account for patients who had a proctectomy according to the Total Mesorectal Excision (TME) technique. The Close Rectal Excision (CRE) technique leaves the mesorectum in place in contrast to the TME. Theoretically, the pouch does have less space for distension. It is not known how the two techniques effect long-term pouch volume and whether this result in a difference in pouch function.

The objective of this study is to evaluate the baseline volume and distensibility of the pouch, and pouch function in patients having had restorative proctocolectomy either applying a close rectal dissection or a total mesorectal excision technique to extirpate the rectum.
Ethics approval(s)Ethics approval received from the Medical Ethics Committee AMC, Amsterdam on the 26th April 2006 (ref: MEC 06/061).
Health condition(s) or problem(s) studiedIleal pouch anal anastomosis
InterventionClose rectal dissection of the rectum.
Intervention typeProcedure/Surgery
Primary outcome measure1. Baseline volume and distensibility of the pouch, measured at least one year after surgery
2. Continence, measured through questionnaires at 1, 3, 6 and 12 months following surgery
3. Quality of life, measured through questionnaires at 1, 3, 6 and 12 months following surgery
Secondary outcome measures1. Morbidity
2. Blood loss
Overall study start date23/06/2006
Completion date01/07/2008

Eligibility

Participant type(s)Patient
Age groupAdult
SexNot Specified
Target number of participants30
Key inclusion criteria1. Indication for proctocolectomy with construction of ileoanal pouch
2. Ulcerative Colitis or Familial Adenomatous Polyposis
3. Informed consent
Key exclusion criteria1. Aged less than 18 years
2. American Society of Anaesthesiologists (ASA) III/IV
3. (Severe) postoperative complication
4. Emergency procedure
Date of first enrolment23/06/2006
Date of final enrolment01/07/2008

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Academic Medical Centre (AMC)
Amsterdam
1100 DD
Netherlands

Sponsor information

Academic Medical Centre (AMC) (The Netherlands)
Hospital/treatment centre

Department of Surgery
P.O. Box 22660
Amsterdam
1100 DD
Netherlands

Website http://www.amc.uva.nl/
ROR logo "ROR" https://ror.org/03t4gr691

Funders

Funder type

Hospital/treatment centre

Academic Medical Centre (AMC) (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Thesis results 01/01/2014 06/08/2021 No No

Editorial Notes

06/08/2021: Link to thesis added.