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C-Reactive Protein and Sodium in Predicting Anastomotic Leakage

29. januar 2021 opdateret af: Semra Demirli Atici, Tepecik Training and Research Hospital

The Effect of Postoperative C-Reactive Protein and Sodium Value on the Early Prediction of Anastomotic Leaks in Patients Operated on for Colorectal Cancer

Anastomotic leakage is serious morbidity that can develop in patients operated on for colorectal cancer and can reach potentially life-threatening dimensions. Many international studies have been conducted to reduce and eliminate this postoperative complication that may have a mortal course. In these studies, preoperative, perioperative and postoperative factors of the patient, operation techniques, structure of the material used in the operation and multiple factors belonging to the surgeon were held responsible. Intraabdominal sepsis secondary to late anastomotic leakage and subsequent multiorgan failure can cost the patient's life. Anastomotic leaks that develop in patients who have been operated for colorectal cancer; In order to detect patients' postoperative clinical findings, laboratory examinations, imaging tests, and to eliminate them before intraabdominal sepsis develops, studies including many different laboratory and imaging methods have been carried out. Although previous studies have shown that there are many laboratory examinations and imaging methods that can predict anastomotic leaks early, they have many advantages over each other in terms of efficiency, sensitivity, specificity, and cost.

The investigators aimed to investigate the effectiveness of C reactive protein and blood sodium value, as well as their superiority, among the tests that can predict postoperative anastomotic leakage, especially in patients who have undergone a single anastomosis following resection for non-metastatic colorectal cancer.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

  • Investigate the effectiveness of postoperative C-reactive protein and sodium values in predicting anastomotic leakage in the early postoperative period in patients who have undergone anastomosis following resection for non-metastatic colorectal cancer, and their superiority to each other.
  • Investigate the effectiveness of these laboratory parameters in developing anastomotic leaks according to tumor location and different age subgroups (<45 years, 45-65 years,> 65 years).

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

2

Kontakter og lokationer

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Studiesteder

  • Kalkun
      • İzmir, Kalkun, 35180
        • Tepecik Training and Research Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

All patients eligible for inclusion criteria

Beskrivelse

Inclusion Criteria:

  1. Patients over the age of 18 who were operated due to elective colorectal cancer
  2. Patients who are known to have no solid organ metastases in preoperative imaging methods and whose perioperative surgery notes support this finding
  3. Patients with ileocolic, colocolic, colorectal anastomosis during the operation
  4. Patients whose postoperative 1,3,5th day C- Reactive protein and sodium values were measured

Exclusion Criteria:

  1. Patients under the age of 18
  2. Emergency operated patients
  3. Patients on a routine dialysis program due to Chronic renal failure
  4. Patients with a known diagnosis of liver cirrhosis
  5. Patients who are irresectable during the operation and therefore have undergone palliative surgery
  6. Patients whose C- Reactive protein and Sodium values were not measured on the postoperative 1, 3, 5th day
  7. Patients with abdominoperineal resection and no bowel anastomosis during the operation
  8. Patients who have not undergone ileocolic, colocolic, colorectal or ileorectal anastomosis during the operation.
  9. Patients found to be metastatic during the operation
  10. Patients who have undergone additional surgical resection (metastasectomy, etc.) due to solid organ metastasis during the operation
  11. Patients who have had more than one gastrointestinal anastomosis during the same surgery
  12. Patients undergoing concurrent hyperthermic intraperitoneal chemotherapy (HIPEC) and / or cytoreductive surgery

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Patients with anastomotic leakage
Post operative anastomotic leakage
Diagnostisk test: Biochemical test
C Reactive protein and sodium
Patients without anastomotic leakage
Post operative without anastomotic leakage
Diagnostisk test: Biochemical test
C Reactive protein and sodium

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Early predictive factors of anastomotic leakege
Tidsramme: 2 or 3 days
The anastomotic leak of the measurement The measurement tool is the laboratory parameters.
2 or 3 days

Samarbejdspartnere og efterforskere

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Sponsor

Tepecik Training and Research Hospital

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. januar 2014

Primær færdiggørelse (Faktiske)

1. januar 2019

Studieafslutning (Faktiske)

1. februar 2019

Datoer for studieregistrering

Først indsendt

15. januar 2021

Først indsendt, der opfyldte QC-kriterier

15. januar 2021

Først opslået (Faktiske)

22. januar 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

3. februar 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

29. januar 2021

Sidst verificeret

1. januar 2021

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 2020/13-51

Plan for individuelle deltagerdata (IPD)

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