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NCT06771349

Treatment of Sigmoid Volvulus

Completed Last updated 14 January 2025
What this trial tests

trial testing sigmoidopexy in Sigmoid Volvulus in 70 participants. Completed in 1 December 2024.

Timeline
1 October 2023
Primary endpoint
1 October 2024
1 December 2024

Quick facts

Lead sponsorWest China Hospital
StatusCompleted
Study typeOBSERVATIONAL
Enrollment70
Start date1 October 2023
Primary completion1 October 2024
Estimated completion1 December 2024
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

West China Hospital

Who can join

18 and older, any sex, with Sigmoid Volvulus. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Colonic volvulus, where part of the colon twists, is a significant cause of large bowel obstruction, representing 15% of cases, second only to cancer and diverticulitis. Acute sigmoid volvulus (SV), which affects the sigmoid colon, is the most common type, with morbidity rates ranging from 6% to 42% and mortality varying from 7% to 90%. The incidence of SV varies globally, being more common in regions such as Africa, Ethiopia, Australia, and East Asia, where it can account for up to 50% of bowel obstructions. SV often presents as partial or complete obstruction and can lead to severe complications such as ischemia, necrosis, and perforation, especially in older patients. The primary treatment goals are relieving the obstruction, reducing pressure, and correcting the twist. According to the World Society of Emergency Surgery (WSES), endoscopic decompression is recommended for patients without infection, perforation, or hemodynamic instability. However, surgery is necessary if decompression fails, with options including sigmoidopexy, sigmoidectomy, or colostomy. Sigmoidopexy is less invasive but has a higher recurrence rate, while sigmoidectomy, though riskier, may reduce recurrence and improve long-term survival. This retrospective study aims to compare the outcomes of sigmoidopexy and sigmoidectomy in patients with acute SV undergoing emergency surgery at West China Hospital, Sichuan University, over a 14-year period. The primary outcome is the recurrence rate of SV, with secondary outcomes including 30-day mortality and morbidity (complications).

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other West China Hospital trials

Trials by the same sponsor.

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