Management of Patients With High C-reactive Protein After Scheduled Resection of Colorectal Cancer
NCT03097276 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 105
Last updated 2026-02-06
Summary
Anastomotic fistula is the most feared complication after surgical resection of colorectal cancer (CCR). It occurs in 6 to 15% of patients. Beyond the risk of death in the immediate postoperative period, the pain that it induces, the resources required for its management, the need for stomata with a negative impact on patients' quality of life and the prolongation of hospitalization, it also has a now-recognized adverse effect on long-term survival.
The early detection of this complication may limit its impact. C-reactive protein (CRP) has proved to be an early, reliable marker of the onset of infectious complications of colorectal surgery.
However, the diagnostic procedure to implement in these patients is not at all codified, since this population concerned by systematic CRP assay in the postoperative period is very recent.
The procedures to implement in these patients so that they can obtain the maximal benefit of an early diagnosis have not yet been established. An algorithm for the proactive clinical management must be drawn up to be able to confirm or rule out the presence of a fistula as soon as a high level of CRP is detected, and to propose a quick treatment to ensure that patients benefit from this early diagnosis.
Conditions
- Colon and/or Rectal Resection With Anastomosis for Cancer
Interventions
- PROCEDURE
-
blood sample
blood sample will be collected
- RADIATION
-
CT scan
CT scan
Sponsors & Collaborators
-
Centre Hospitalier Universitaire Dijon
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-04-17
- Primary Completion
- 2021-10-01
- Completion
- 2021-12-15
Countries
- France
Study Locations
More Related Trials
-
Early Closure of Protective Ileostomy in Rectal Cancer Patients
NCT02997267 ·Status: COMPLETED ·Phase: NA
-
Drainage After Rectal Excision for Rectal Cancer
NCT01269567 ·Status: COMPLETED ·Phase: PHASE3
-
Anastomotic Leakage and Enhanced Recovery Pathways After Colorectal Surgery
NCT03771456 ·Status: UNKNOWN
-
Organ/Space Surgical Site Infection and Recurrence and Survival in Rectal Cancer Surgery
NCT06382415 ·Status: COMPLETED
-
Microbiota-anastomotic Leak Among Colorectal Surgery Patients : Pilot Study
NCT03496441 ·Status: COMPLETED
-
Transverse Colostomy for Refractory Hemorrhagic Chronic Radiation Proctitis: a Prospective Cohort Study
NCT03397901 ·Status: UNKNOWN ·Phase: NA
-
Risk Factors Associated With Morbidity and Mortality in Emergency Colorectal Cancer Resections
NCT06074432 ·Status: COMPLETED
-
EAST-west Colorectal Study
NCT05544487 ·Status: UNKNOWN
-
Surgical and Oncological Outcomes in Patients With Ulcerative Colitis-associated Rectal Cancer
NCT04659148 ·Status: UNKNOWN
-
Rectal Cancer Anastomosis 4 Check Study
NCT04637061 ·Status: UNKNOWN
-
A Multicenter Study on the Safety and Functionality Evaluation of Anastomotic Redo Surgery
NCT07279961 ·Status: COMPLETED
-
Early Closure Versus Conventional Closure in Postoperative Patients With Low Anteriresection for Rectal Cancer
NCT03746353 ·Status: TERMINATED ·Phase: NA
-
Care Pathways for Colorectal Cancer Surgery
NCT02965794 ·Status: COMPLETED
-
Colon Cancer Surgery in the Aged; Postoperative Outcome, Functional Recovery and Survival.
NCT03904121 ·Status: COMPLETED
-
Analysis of Histopathological Factors Predictive of Lymph Node Involvement and Management Practices in pT1 Colorectal Cancers Treated by Primary Endoscopic Resection
NCT06339346 ·Status: ACTIVE_NOT_RECRUITING
-
Factors Affecting the Results of Treatment of Patients With Colorectal Cancer
NCT06050447 ·Status: RECRUITING
-
Indocyanine Green Fluorescence Imaging in Prevention of Colorectal Anastomotic Leakage
NCT03602677 ·Status: UNKNOWN ·Phase: NA
-
Early Diagnosis of Anastomotic Leakage After Colorectal Surgery: Italian ColoRectal Anastomotic Leakage Study Group.
NCT03560180 ·Status: UNKNOWN
-
Impact of Iron Infusion in Anemic Patients on Their Postoperative Outcome After Colorectal Surgery
NCT05522790 ·Status: COMPLETED
-
Role of Indexed Oxygen Delivery in Anastomotic Insufficiencies in Elective Laparoscopic Colorectal Resections for Cancer
NCT07099820 ·Status: COMPLETED
-
The Management of Complicated Colo-rectal Cancer in Older Patients in the Emergency Setting: the CO-OLDER Study
NCT05788224 ·Status: UNKNOWN
-
Colorectal Cancer in Crohn's Disease
NCT04654494 ·Status: UNKNOWN
-
Prospective Database for Colonic or Rectal Resection Surgery Patients
NCT04704817 ·Status: NOT_YET_RECRUITING
-
Pilot Study for Evaluation of the Need for Protective Ileostomy After Low Anterior Resection Due to Rectal Cancer
NCT00457327 ·Status: TERMINATED ·Phase: PHASE2
-
Upgrade Program Implementation at Colorrectal Surgery and Complications: Early Diagnosis
NCT04632446 ·Status: UNKNOWN