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NCT04569331Completed

Efficacy of Stimulation of the Efferent Loop and Rehabilitation of the Pelvic Floor in the Quality of Life of Patients Who Underwent Anterior Resection of the Rectum (ENESP): Randomized Clinical Trial

Efficacy of Stimulation of the Efferent Loop Prior to the Closure of the Ileostomy Along With Rehabilitation of the Pelvic Floor After the Closure of the Ileostomy, in the Quality of Life of Patients Who Underwent Anterior Resection of the Rectum(ENESP): Randomized Clinical Trial

Source: ClinicalTrials.gov · Last updated 1 Feb 2024

Brief summary (registry, in English)

Many of the patients operated with sphincter preservation will present an alteration of bowel function and defecation. This dysfunction is variable in its symptoms and severity, and manifests itself in the form of urgency, incontinence and fragmentation of faeces, with repeated, incomplete or difficult evacuations. The set of these symptoms constitutes what is known as anterior resection syndrome (ARS), which can negatively influence the quality of life of the operated patients and constitutes the main objective of the study to be investigated. From this study, the investigators want to evaluate the efficacy of stimulation of the efferent loop prior to the closure of the ileostomy along with rehabilitation of the pelvic floor after the closure of the ileostomy, in the quality of life of patients who underwent anterior resection of the rectum. A non-pharmacological randomized clinical trial will be conducted, comparing a control group (usual clinical practice), with respect to the experimental group where stimulation of the efferent loop will be performed prior to the closure of the ostomy along with pelvic floor rehabilitation after the closure of the latter. The main dependent variable will be the quality of life evaluated according to the QLQ CR-29 questionnaire, and secondary dependent variables will be evaluated postoperative paralytic ileus and the previous resection syndrome using the LARS scale.

Status (registry)
Completed
Study type
Interventional
Enrollment
25 (actual)
First submitted
16 Sept 2020
Start date
15 May 2020
Primary completion date
13 Dec 2023
Lead sponsor
Althaia Xarxa Assistencial Universitària de Manresa
NCT number
NCT04569331

What you commit to

  • Study type: Interventional
  • Participants enrolled: 25
  • From 15 May 2020 to the primary completion date, 13 Dec 2023
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patients with fecal incontinence prior to anterior rectal resection surgery (Wexner scale: greater than 3 points)

Lab values

  • Patients with active treatment of Qt or Rt

Other

  • End ileostomy patients
  • Patients with some stoma complication such as mucosal prolapse or peristomal hernia
  • Patients who do not agree to participate in the study
  • Patients with cognitive deficit

Who the study is looking for

  • Patients undergoing scheduled rectal cancer surgery, carriers of a protective ileostomy with a scheduled surgery date for ileostomy closure
  • Patients over 18 years of age
  • Patients with absence of cognitive deficit (Pfeiffer: 0-2 errors)
  • Patients who agree to participate in the study and sign the informed consent

Age in the registry: 18 years to - · Sex: All · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Althaia-Xarxa Assistencial de Manresa
Coordinator of this site? Confirm its status
ManresaSpainUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.