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The aim of this randomized controlled trial is to compare outcome after construction of an ileal (J-shaped) reservoir of 10 versus 15 centimeters in primary ileal pouch-anal anastomosis surgery.
The primary aim of this randomized controlled trial is to compare functional outcome in terms of bowel function correlated with quality of life for patients who undergo primary ileal pouch-anal anastomosis surgery with an ileal (J-shaped) reservoir length of either 10 cm or 15 cm.
Secondary aims include health-related quality of life measures and postoperative complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 10 cm | Experimental | Ileal reservoir length of 10 cm |
|
| 15 cm | Active Comparator | Ileal reservoir length of 15 cm |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 10 cm pouch | Procedure | A 10 cm pouch will be constructed |
| |
| 15 cm pouch |
| Measure | Description | Time Frame |
|---|---|---|
| Pouch dysfunction score | Ranges from 0 to 7.5, where a low score indicates good bowel function will little to no impact on quality of life | 1, 3, 5 and 10 years after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Short Inflammatory Bowel Disease Questionnaire | Consists of 10 questions with a total score range from 10 (poor health-related quality of life) to 70 (good health-related quality of life) | 1, 3, 5 and 10 years after surgery |
| Short-form (SF)-36 |
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Inclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anders Mark-Christensen, MD, PhD | Contact | +45 51236691 | anders.mark.christensen2@rsyd.dk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aarhus University Hospital | Recruiting | Aarhus | Denmark |
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| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| D011125 | Adenomatous Polyposis Coli |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| Procedure |
A 15 cm pouch will be constructed |
|
Consists of questions relating to 8 domains of life with a total score ranging from 0-100, with lower numbers indicating worse health status
| 1, 3, 5 and 10 years after surgery |
| Postoperative complications using the Comprehensive Complication Index (CCI) | The CCI is a continuous scale, where each postoperative complication as defined by Clavien-Dindo is assigned a weigth based on its severity. A total summarized score taking all complications into account is thus generated. | 90 days after surgery |
| Pouch failure | Hazard ratio of pouch failure defined as an intended permanent ileostomy with or without pouch excision | 1, 3, 5 and 10 years after surgery |
| Hvidovre Hospital | Recruiting | Hvidovre | Denmark |
|
| D015212 |
| Inflammatory Bowel Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D018256 | Adenomatous Polyps |
| D000236 | Adenoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009386 | Neoplastic Syndromes, Hereditary |
| D044483 | Intestinal Polyposis |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |