Status:

COMPLETED

Timing of Stoma Closure in Neonates

Lead Sponsor:

Manchester University NHS Foundation Trust

Collaborating Sponsors:

University of Oxford

University of Liverpool

Conditions:

Enterocolitis, Necrotizing

Atresia; Bowel

Eligibility:

All Genders

Brief Summary

Some babies require emergency surgery on their tummy in the first few months of life. This is most commonly because they were born prematurely and developed a bowel problem (called NEC) or a blockage ...

Detailed Description

Neonates undergoing emergency abdominal surgery frequently require stoma formation. Reversing (closing) these stomas with a second operation is an essential part of the infant's recovery. The timing o...

Eligibility Criteria

Inclusion

  • Workstream 1
  • Inclusion criteria:
  • Neonatologists in surgical NICUs, neonatal surgeons, neonatal dieticians and neonatal surgical nurses.
  • Workstream 2.1
  • Inclusion criteria:
  • Infants having a stoma as part of emergency surgery before 44 weeks post-conceptual age: Group A preterm infants who have stomas formed for necrotising enterocolitis, spontaneous intestinal perforation or other intestinal pathology, and Group B infants (usually born closer to term) who have congenital anomalies that lead to bowel obstruction (e.g. intestinal atresias; meconium ileus and other conditions such as complicated gastroschisis).
  • Exclusion criteria:
  • Cases where a stoma is part of a planned treatment pathway e.g. for an anorectal malformation or Hirschsprung's disease.
  • Infants who have a stoma formed after 44 weeks post-conceptual age.
  • Workstream 2.2
  • Inclusion criteria:
  • Lead surgeons and neonatologists caring for infants recruited to WS 2.1.
  • Workstream 2.3
  • Inclusion criteria:
  • Parents of premature and term infants who have had an stoma in the last three years (including parents of infants recruited to WS 2.1).
  • Clinicians in participating surgical units, who are involved in the treatment of infants requiring emergency stoma closure.
  • Exclusion criteria:
  • Parents who do not speak English.

Exclusion

    Key Trial Info

    Start Date :

    February 17 2021

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ACTUAL

    End Date :

    October 31 2022

    Estimated Enrollment :

    56 Patients enrolled

    Trial Details

    Trial ID

    NCT04713579

    Start Date

    February 17 2021

    End Date

    October 31 2022

    Last Update

    January 18 2023

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Manchester University NHS Foundation Trust

    Manchester, United Kingdom