The Diagnostic Methods of Early Postoperative Flare-up of Crohn's Disease

October 16, 2015 updated by: Zhu Weiming, Jinling Hospital, China

The Diagnostic Methods of Crohn's Disease Flare-up Within One Month After Resection

Crohn's disease is a chronic inflammatory transmural bowel disorder characterized by high rate of postoperative anastomotic complications and recurrences. Surgery itself can influence immunologic function and trigger inflammatory response, which may result in the flare of Crohn's disease soon after surgery (within one month), especially near the anastomosis. Early flare-up of Crohn's disease can negatively impact the outcomes of operation. However, due to the the complexity of perioperative period and dangerous of invasive examine, it is difficult to distinguish disease flare from postoperative complications.

In this study, the investigators aim to development a diagnostic method of flare-up within one month after surgery, which can help us to detect and then treat disease flare in time.

Study Overview

Status

Unknown

Conditions

Detailed Description

HBI score, serum CRP, ESR, WBC, Hb, PLT, IL-6,PCT and fecal Calprotectin will be monitored within one month after resection.

Study Type

Observational

Enrollment (Anticipated)

300

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Jiangsu
      • Nanjing, Jiangsu, China, 210000
        • General Surgery Institute,Jinling Hospital,Nanjing,Jiangsu,China

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

17 years to 75 years (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

Adult patients with Crohn's disease

Description

Inclusion Criteria:

  • patients undergoing intestinal resection of all macroscopic disease, with an endoscopically accessible anastomosis,

Exclusion Criteria:

  • patients have an anastomosis which is endoscopically inaccessible by standard colonoscopy;
  • patients withs persisting macroscopic abnormality after surgical resection;
  • patients with an end stoma (ileostomy or colostomy);
  • patients are not suitable to undergo endoscopy because of co-morbidities or an unwell clinical state;
  • patients who are unable to give informed consent;
  • patients who are pregnant

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
patients with flare-up
Disease flare-up is demonstrated by coloscopy at one month after resection.
patients without flare-up
No flare-up is found by coloscopy at one month after resection.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
flare-up confirmed by coloscopy
Time Frame: one month after surgery
one month after surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

December 1, 2015

Primary Completion (Anticipated)

December 1, 2017

Study Registration Dates

First Submitted

October 15, 2015

First Submitted That Met QC Criteria

October 16, 2015

First Posted (Estimate)

October 19, 2015

Study Record Updates

Last Update Posted (Estimate)

October 19, 2015

Last Update Submitted That Met QC Criteria

October 16, 2015

Last Verified

October 1, 2015

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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