Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05942833

DATE Trial: Outcomes and Quality of Life in Patients With Early Versus Elective Resection in Acute Complicated and Chronic Recurrent Left-sided Diverticulitis

Led by Kepler University Hospital · Updated on 2026-03-18

136

Participants Needed

4

Research Sites

30 weeks

Total Duration

On this page

Sponsors

K

Kepler University Hospital

Lead Sponsor

K

Krankenhaus Barmherzige Schwestern Linz

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are investigating the quality of life outcomes for patients with acute complicated and chronic recurrent diverticulitis affecting the left side of the colon. This study includes patients diagnosed with specific types of diverticulitis confirmed by CT scan or ultrasound. The goal is to compare early versus elective surgical removal of the affected colon segment and evaluate how these approaches impact patient recovery and well-being. Participants are randomly assigned to one of two groups. Group A will receive an early left hemicolectomy 7 to 10 days after hospital admission following initial antibiotic treatment and possible abscess drainage. Group B will have an elective surgery scheduled 6 to 8 weeks after discharge, also following initial conservative treatment. Both groups undergo similar diagnostic procedures before surgery. Throughout the study, patients complete standardized questionnaires assessing gastrointestinal quality of life and general health at multiple times: before surgery, 6 to 8 weeks after surgery, and again 6 to 8 weeks later. Researchers monitor complications like anastomosis issues, mortality, and hospital stay length. The study lasts up to 18 weeks per participant, with ongoing assessments to understand the effects of surgery timing on recovery and quality of life.

CONDITIONS

Brief Title

Quality of Life in Acute Complicated and Chronic Recurrent Left-sided Diverticulitis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Informed consent to participate in the study
  • Diagnosis of acute complicated left-sided diverticulitis type CDD 2a or 2b
  • Diagnosis of relapsing diverticulitis type CDD 3b with more than 2 episodes within 2 years
  • Acute symptoms present at hospital admission
  • Inflammation confirmed by CT scan or ultrasound performed by experienced radiologists
  • Inflammation located in the left side of the colon
Not Eligible

You will not qualify if you...

  • Younger than 18 years old
  • Pregnancy
  • Body mass index greater than 55 kg/m2
  • Current colorectal cancer in the left-sided colon
  • Taking oral or intravenous corticosteroids
  • Undergoing chemotherapy currently
  • History of previous left hemicolectomy
  • Unable to care for oneself at home or follow instructions
  • Not fit for surgery based on anesthesia or specialist evaluation

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Initial Conservative or Interventional Treatment

Duration - 7 to 10 days

Participants receive initial conservative or interventional treatment such as antibiotics, analgesics, and drainage as needed.

1 to 2 visits depending on treatment needs

Treatment

Duration - Up to 2 days (early surgery) or 6 to 8 weeks (elective surgery)

Participants undergo left hemicolectomy surgery either early (within 2 days after initial treatment) or elective (6 to 8 weeks after initial treatment) depending on randomization.

1 surgery visit

Post-operative Follow-up

Duration - Up to 18 weeks

Participants complete questionnaires and are monitored for recovery, complications, and quality of life after surgery.

Multiple follow-up visits over 18 weeks

Trial Site Locations

Total: 4 locations

1

Ordensklinikum Elisabethinen Linz

Linz, Austria, Austria, 4020

Actively Recruiting

2

Krankenhaus Barmherzige Schwestern Linz

Linz, Upper Austria, Austria, 4010

Actively Recruiting

3

Kepler University Hospital

Linz, Upper Austria, Austria, 4020

Actively Recruiting

4

Universitätsklinikum Mannheim

Mannheim, Mannheim, Germany, 68167

Not Yet Recruiting

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Research Team

S

Sandra Raab, Dr.

A

Andreas Shamiyeh, Dr.

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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