Impact of Preoperative Single Corticosteroid Flash on Morbidity After Colorectal Resection: Monocentric Prospective Pilot Study
NCT03437746 · Status: TERMINATED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 78
Last updated 2026-02-04
Summary
Complications due to infection after colorectal surgery are frequent, affecting up to 25% of patients. Infection increases mortality, lengthens hospital stays, increases costs and decreases long term survival for cancer patients. Perioperative inflammation leads to hypercatabolism, denutrition and immunosuppression, all of which are associated to postoperative infection. Data from various sources suggests that modulating perioperative inflammatory response through the injection of corticosteroids would benefit the patient by reducing the number of postoperative complications after major surgery. Pre- or perioperative intravenous administration of a single corticosteroid flash is a means of modulating systemic inflammation that has been suggested for numerous types of surgeries, including pancreatic surgery. The objective of this study is to assess whether a preoperative single corticosteroid flash (methylprednisolone: 20 mg/kg IV at anesthetic induction) reduces the risk of serious complications after elective colorectal surgery.
Conditions
- Elective Colorectal Surgery
Interventions
- DRUG
-
injection of methylprednisolone at anesthetic induction
intravenous administration : 20 mg/kg, over 30 minutes at anesthetic induction
- BIOLOGICAL
-
Blood samples
Blood samples (D0, D1, D2, D3, D4)
Sponsors & Collaborators
-
Centre Hospitalier Universitaire Dijon
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-03-01
- Primary Completion
- 2021-09-30
- Completion
- 2021-11-24
Countries
- France
Study Locations
More Related Trials
-
Neomycin and Metronidazole Hydrochloride With or Without Polyethylene Glycol in Reducing Infection in Patients Undergoing Elective Colorectal Surgery
NCT03042091 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Intestinal Microbiota and Postoperative Ileus After Colorectal Surgery
NCT05512741 ·Status: COMPLETED
-
Anastomotic Leakage and Enhanced Recovery Pathways After Colorectal Surgery
NCT03771456 ·Status: UNKNOWN
-
Prophylatic Effect Preoperative Antibiotics With Mechanical Bowel Preparation in SSIs: A Propensity Analysis
NCT04258098 ·Status: COMPLETED
-
Mechanical Bowel Preparation and Oral Antibiotics Before Colon Cancer Surgery
NCT03475680 ·Status: TERMINATED ·Phase: PHASE3
-
Trial Comparing Low Dose and High Dose Steroids in Patients Undergoing Colorectal Surgery
NCT01559675 ·Status: COMPLETED ·Phase: NA
-
Anesthesia and Immunological and Oxidative Stress in Relation to Abdominal Cancer Surgery
NCT03974984 ·Status: WITHDRAWN
-
Fascial Dehiscence and Mortality
NCT03008265 ·Status: UNKNOWN
-
A T Drain Approach Treating Anastomotic Leaks After Gastrointestinal Surgery
NCT03974672 ·Status: COMPLETED
-
Antibiotic Prophylaxis in Rectal Cancer Surgery: Oral With Intravenous Versus Intravenous Antibiotics.
NCT03436719 ·Status: UNKNOWN ·Phase: NA
-
Comparison Between Colorectal Stents and Primary Surgery in Obstructive Colonic Cancer. A Randomized, Controlled Study
NCT00514332 ·Status: TERMINATED ·Phase: NA
-
Stenting and Resection for Stage IV Colorectal Cancer Endoscopic Stenting and Colorectal Resection in Stage IV
NCT03451643 ·Status: UNKNOWN ·Phase: NA
-
Prophylatic Effect Preoperative Antibiotics With Mechanical Bowel Preparation in SSIs
NCT03856671 ·Status: COMPLETED ·Phase: NA
-
Safety and Efficacy of One Dose Prophylactic Antibiotic in Laparoscopic Colorectal Surgery
NCT01220661 ·Status: COMPLETED ·Phase: PHASE2
-
An Open-Label, Pilot Clinical Trial To Test The Safety And Feasibility Of A Suspension of Freeze-dried Microbiota In Patients Undergoing Colon Resection
NCT06692179 ·Status: RECRUITING ·Phase: PHASE1
-
Oral Antibiotic Prophylaxis in Colorectal Surgery
NCT03759886 ·Status: UNKNOWN
-
Symbiotics to Prevent Postoperative Infection in Colorectal Cancer
NCT02571374 ·Status: UNKNOWN ·Phase: NA
-
Prospective Randomized Clinical Trial on Oral and Intravenous Antibiotic Prophylaxis in Colorectal Surgery.
NCT04438655 ·Status: COMPLETED ·Phase: NA
-
Mechanical Bowel Preparation and Oral Antibiotics Before Rectal Cancer Surgery
NCT03491540 ·Status: COMPLETED ·Phase: PHASE3
-
Mechanical Bowel Prep Randomized Study
NCT04931173 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Bowel Function/QoL After Elective Sigmoidectomy vs. Conservative Management for Recurrent Uncomplicated Diverticulitis
NCT03994978 ·Status: RECRUITING
-
Microbiota-anastomotic Leak Among Colorectal Surgery Patients : Pilot Study
NCT03496441 ·Status: COMPLETED
-
Impact of Iron Infusion in Anemic Patients on Their Postoperative Outcome After Colorectal Surgery
NCT05522790 ·Status: COMPLETED
-
Local Anesthetic Wound Infusion and Functional Recovery After Colon Surgery
NCT01062919 ·Status: TERMINATED ·Phase: NA
-
Multicenter Study Comparing Morbidity and Quality of Life Associated in the Treatment by Surgical Resection and the Conservative Treatment, After Favorable Evolution of Purulent Peritonitis That Originates From Diverticulitis Treated by Mini-invasive Surgery
NCT01837342 ·Status: UNKNOWN ·Phase: NA