Endoscopically Assisted Colostomy With Colopexy for Critically Ill Patients Without General Anesthesia or Laparotomy

Summary

Indications for colostomy are rectal or anal cancer, diverticular disease, radiation enteritis, complex perirectal fistulas, anorectal trauma, severe incontinence, motility and functional disorders. It is frequently required in critically ill patients who may not be able to tolerate a laparotomy. Laparoscopic-assisted colostomy is an alternative method for colostomy without laparotomy, but require general anesthesia.

Additionally, percutaneous anterior colopexy under colonocopic control offers the possibility for improved and faster fixation of the anterior colonic wall to the anterior abdominal wall.

The objective of this study is to evaluate the feasibility of performing fecal diversion with the help of a colonoscope and colopexy, without the additional morbidity of abdominal exploration.

Conditions

• Colonic Neoplasms
• Rectal Neoplasms
• Fecal Incontinence

Interventions

PROCEDURE

ENDOSCOPICALLY ASSISTED COLOSTOMY WITH COLOPEXY

The endoscope was manipulated until the light approached the pre-set for the use of transillumination site and puncture with the Loop Fixture II gastropexy kit

Sponsors & Collaborators

• LEONARDO ALFONSO BUSTAMANTE L

  collaborator UNKNOWN

• MARIANNY NAZARETH SULBARAN N

  collaborator UNKNOWN

• PAULO SAKAI

  collaborator UNKNOWN

• EDUARDO MOURA

  collaborator UNKNOWN

• CRISTIANO SAKAI

  collaborator UNKNOWN

• CAIO SERGIO NAHAS

  collaborator UNKNOWN

• CARLOS FREDERICO MARQUES

  collaborator UNKNOWN

• IVAN CECONELLO

  collaborator UNKNOWN

• SERGIO CARLOS NAHAS

  collaborator UNKNOWN

• University of Sao Paulo

  lead OTHER

Principal Investigators

• Leonardo A Bustamante, MD · University of Sao Paulo

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Sex

FEMALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2014-02-28

Primary Completion

2014-08-31

Completion

2014-09-30

Countries

• Brazil

Study Locations