Impact of a Bridge Device on the Loop Ileostomy (IBIP)
During the creation of an ileostomy, a bridge device is systematically placed in an aim to reduce wound and peritoneal contamination by stools. Nevertheless no evidence was reported to justify this issue.
Moreover the placement of a bridge device increases the difficulty of nurse cares and is associated with its own morbidity.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Charles SABBAGH
- Email: sabbagh.charles@chu-amiens.fr
Study Locations
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-
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Amiens, France
- Amiens Universitary Hospital
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Beauvais, France
- Beauvais hospital
-
-
France
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Rouen, France, France, 76000
- CHU Rouen
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- colorectal disease (cancer; diverticulitis; Crohn disease; inflammatory bowel disease)
- requiring elective surgery with an ileostomy
- patient having given his consent before the enrollment
Exclusion Criteria:
- patient with early closure of the stoma (within 10 days after the colorectal surgery)
- long term corticoids
- emergency surgery
- history of stoma in the side of the stoma placement planned for the study
- BMI >50
- No signature of the consent to participate in the study
- Physical or mental state not allowing participation in the study
- Contraindication to surgery
- ASA classification (American Society of Anesthesiologists) IV-V or life expectancy <48h
- Pregnancy or breastfeeding
- Patient under guardianship or guardianship or patient deprived of liberty by a judicial or administrative decision (in accordance with articles L1121-6 and L1121-8 of the Public Health Code)
- Minor patient
- Patient without social protection
Peroperative exclusion criteria:
- no anastomosis
- no ileostomy
- Spontaneous stomal retraction
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: no bridge device
After the ileostomy creation, no bridge device was placed.
|
|
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Active Comparator: bridge device
A bridge device was placed after the stoma creation.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
absence of postoperative morbidity
Time Frame: two months after the surgery
|
the primary outcome is a composite score.
The complication is considered as present if the patient experienced at least one of the following events: surgical site infection (either superficial, deep or distant); a parastomal irritation; a stomal necrosis; parastomal hernia; a stoma stenosis; a stoma prolapsus or a stoma leakage.
The primary endpoint is evaluated by a nurse devoted to stoma care according to an open label.
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two months after the surgery
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
difficulty of the stoma conception
Time Frame: at the end of the surgery
|
the difficulty was assessed by the surgeon thanks to a score ranging from 1 to 10.
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at the end of the surgery
|
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the reoperation rate
Time Frame: postoperative month one
|
the reoperation rate is defined as the number of reoperation one month after the colorectal surgery
|
postoperative month one
|
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the mortality rate
Time Frame: postoperative month one
|
the mortality rate is defined as the number of deaths one month after the surgery
|
postoperative month one
|
|
the postoperative morbidity
Time Frame: postoperative month one
|
the postoperative morbidity is defined according the Clavien - Dindo classification and corresponds to the number of patients with a postoperative outcome
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postoperative month one
|
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the specific quality of life
Time Frame: postoperative year one
|
the quality of life is assessed with the STOMA QoL form at Baseline, 2, 6 months after the surgery and one year after the surgery
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postoperative year one
|
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the rate of stoma closure
Time Frame: 6 months after the surgical procedure
|
the rate of stoma closure is defined as the number of patients for whom the stoma was closed 6 months after the colorectal surgery.
|
6 months after the surgical procedure
|
|
the rate of anastomotic fistula
Time Frame: 2 months after the colorectal surgery
|
the rate of anastomotic fistula is defined as the number of anastomotic fistula after the colorectal surgery.
|
2 months after the colorectal surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Charles SABBAGH, CHU Amiens Picardie
Publications and helpful links
General Publications
- Matthiessen P, Hallbook O, Rutegard J, Simert G, Sjodahl R. Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer: a randomized multicenter trial. Ann Surg. 2007 Aug;246(2):207-14. doi: 10.1097/SLA.0b013e3180603024.
- Sagap I, Remzi FH, Hammel JP, Fazio VW. Factors associated with failure in managing pelvic sepsis after ileal pouch-anal anastomosis (IPAA)--a multivariate analysis. Surgery. 2006 Oct;140(4):691-703; discussion 703-4. doi: 10.1016/j.surg.2006.07.015.
- Panis Y, Maggiori L, Caranhac G, Bretagnol F, Vicaut E. Mortality after colorectal cancer surgery: a French survey of more than 84,000 patients. Ann Surg. 2011 Nov;254(5):738-43; discussion 743-4. doi: 10.1097/SLA.0b013e31823604ac.
- Oberkofler CE, Rickenbacher A, Raptis DA, Lehmann K, Villiger P, Buchli C, Grieder F, Gelpke H, Decurtins M, Tempia-Caliera AA, Demartines N, Hahnloser D, Clavien PA, Breitenstein S. A multicenter randomized clinical trial of primary anastomosis or Hartmann's procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis. Ann Surg. 2012 Nov;256(5):819-26; discussion 826-7. doi: 10.1097/SLA.0b013e31827324ba.
- Cottam J, Richards K, Hasted A, Blackman A. Results of a nationwide prospective audit of stoma complications within 3 weeks of surgery. Colorectal Dis. 2007 Nov;9(9):834-8. doi: 10.1111/j.1463-1318.2007.01213.x. Epub 2007 Aug 2.
- Sabbagh C, Mauvais F, Demouron M, Browet F, Tartar L, Hariz H, Bridoux V, Tuech JJ, Diouf M, Regimbeau JM. Is a bridge (rod) necessary for loop ileostomy? A phase II randomized control trial. Tech Coloproctol. 2025 Mar 25;29(1):87. doi: 10.1007/s10151-025-03132-4.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- PI2015_843_0008
- 2015-A00620-49 (Other Identifier: ANSM)
- 2015/29 (Other Identifier: CPP Nord Ouest II)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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