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Primary vs. Secondary Anastomosis for Hinchey Stage III-IV Diverticulitis a Prospective Randomized Trial (DIVERTI)

Primary Purpose

Peritonitis

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
Hartmann intervention
Protected anastomosis resection
Sponsored by
University Hospital, Rouen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peritonitis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient with peritonitis du to sigmoid diverticulum complication
  • Surgeon - anesthetist confirming the 2 surgeries can be performed

Exclusion Criteria:

  • Physical state which can not permit patient to participate
  • contraindication to surgery
  • non-diverticulum peritonitis

Sites / Locations

  • CHU - Rouen

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

1

2

Arm Description

Surgery : Hartmann intervention

Surgery : primary resection with anastomosis with protective stoma

Outcomes

Primary Outcome Measures

Death rate comparison between two chirurgical strategies

Secondary Outcome Measures

Full Information

First Posted
June 3, 2008
Last Updated
June 18, 2014
Sponsor
University Hospital, Rouen
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1. Study Identification

Unique Protocol Identification Number
NCT00692393
Brief Title
Primary vs. Secondary Anastomosis for Hinchey Stage III-IV Diverticulitis a Prospective Randomized Trial
Acronym
DIVERTI
Official Title
Primary vs. Secondary Anastomosis After Sigmoid Colon Resection for Perforated Diverticulitis (Hinchey Stage III and IV): a Prospective Multicentric Randomized Trial
Study Type
Interventional

2. Study Status

Record Verification Date
June 2014
Overall Recruitment Status
Completed
Study Start Date
June 2008 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
November 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Hospital, Rouen

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study compares primary resection with anastomosis and Hartmann's procedure in an adult population with acute perforated colonic diverticulitis (Hinchey Stage III and IV) METHODS: The primary end point was postoperative mortality. Secondary end points included surgical and medical morbidity, operative time, and length of postoperative hospitalization.
Detailed Description
inclusion criteria: hinchey III and IV diverticulitis

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peritonitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
102 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Description
Surgery : Hartmann intervention
Arm Title
2
Arm Type
Experimental
Arm Description
Surgery : primary resection with anastomosis with protective stoma
Intervention Type
Procedure
Intervention Name(s)
Hartmann intervention
Intervention Description
sigmoid resection, peritoneal and rectal lavage, terminal stoma
Intervention Type
Procedure
Intervention Name(s)
Protected anastomosis resection
Intervention Description
sigmoid resection , peritoneal and rectal lavage, anastomosis, diverting stoma
Primary Outcome Measure Information:
Title
Death rate comparison between two chirurgical strategies
Time Frame
18 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient with peritonitis du to sigmoid diverticulum complication Surgeon - anesthetist confirming the 2 surgeries can be performed Exclusion Criteria: Physical state which can not permit patient to participate contraindication to surgery non-diverticulum peritonitis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
JJ TUECH, PhD
Organizational Affiliation
UH Rouen
Official's Role
Principal Investigator
Facility Information:
Facility Name
CHU - Rouen
City
Rouen
ZIP/Postal Code
76031
Country
France

12. IPD Sharing Statement

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Primary vs. Secondary Anastomosis for Hinchey Stage III-IV Diverticulitis a Prospective Randomized Trial

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