Stoma or no stoma? new trial tests safer surgery for bowel infections
NCT ID NCT04604730
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at two ways to treat severe peritonitis caused by a burst diverticulitis pocket. Both involve removing the diseased part of the colon and reconnecting the bowel. One group also gets a temporary stoma (a bag on the belly) to protect the new connection, while the other does not. The goal is to see which approach leads to fewer complications and better quality of life. About 204 adults with this condition will take part across multiple hospitals.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- surgical procedure (primary anastomosis with or without protective stoma)
- What this could lead to
- If this trial succeeds, it could show that avoiding a temporary stoma is safe and reduces complications, improving recovery for patients with severe diverticulitis.
- What could go wrong
- This is a relatively small, early-stage trial (204 participants) comparing two surgical techniques. Results may not apply to all patients, and there is a risk of serious complications like infection or leakage in both groups.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 204 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2021
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥ 18 years 2. Patients operated for purulent or fecal peritonitis (Hinchey grade III and IV) secondary to perforated diverticulitis of the left colon and treated by resection with primary anastomosis 3. Person informed and having signed his consent. If the patient is unable to sign his consent, the consent will be signed by his representative ((1) the trusted person, or failing that, (2) a family member, or (3) a relative of the person concerned) (Article L1122-1-1 of the CSP). In this case, consent to continue the study will subsequently be requested from the patient. --\> In addition, due to the vital urgency represented by hospitalisation in intensive care for purulent or fecal peritonitis, inclusion without prior collection of the consent of the patient or his/her representative is possible in the case where the patient is not capable of giving consent and his/her representative is not present at the time of inclusion (Article L1122-1-3 of the CSP). In this case, the patient or his/her representative will be informed as soon as possible and his/her written consent will be requested for the possible continuation of this research and the use of the data concerning him/her. 4. Patient able to comply with the study protocol, in the investigator's judgment 5. Patient affiliated with, or beneficiary of a social security (health insurance) category Non-inclusion Criteria: 1. Physical states that prevent patient participation (e.g. septic shock or multivisceral failure) 2. Steroid treatment \> 20 mg daily 3. Prior pelvic irradiation 4. Immunocompromised status 5. Known progressive cancer 6. American Society of Anesthesiologists grade IV 7. Peritonitis secondary to perforated diverticulitis of the right colon 8. Patient is a pregnant (positive blood pregnancy test) or breastfeeding (lactating) woman or intending to become pregnant during the study 9. Person deprived of liberty by administrative or judicial decision or placed under judicial protection (guardianship or supervision) 10. Simultaneous participation in another interventional research Exclusion Criteria: 1\. Failure to obtain the consent of the patient or the patient's representative
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
20 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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APHM Hôpital Nord
RECRUITINGMarseille, France
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APHM La Timone
RECRUITINGMarseille, France
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APHP Avicenne
NOT_YET_RECRUITINGBobigny, France
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APHP Henri Mondor
NOT_YET_RECRUITINGCréteil, France
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APHP St Antoine
NOT_YET_RECRUITINGParis, France
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CH Beauvais
NOT_YET_RECRUITINGBeauvais, France
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CHR Beauvais
NOT_YET_RECRUITINGBeauvais, Beauvais, 60021, France
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CHU Amiens
RECRUITINGAmiens, France
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CHU Besançon
NOT_YET_RECRUITINGBesançon, France
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CHU Brest
RECRUITINGBrest, France
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CHU Caen
NOT_YET_RECRUITINGCaen, France
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CHU Clermont Ferrand
NOT_YET_RECRUITINGClermont-Ferrand, France
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CHU Grenoble
NOT_YET_RECRUITINGGrenoble, France
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CHU Limoges
NOT_YET_RECRUITINGLimoges, France
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CHU Lyon
NOT_YET_RECRUITINGLyon, France
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CHU Nancy
NOT_YET_RECRUITINGNancy, France
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CHU Nantes
NOT_YET_RECRUITINGNantes, France
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CHU Nimes
NOT_YET_RECRUITINGNîmes, France
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CHU Rouen
RECRUITINGRouen, France
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CHU Tours
RECRUITINGTours, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New study aims to take the guesswork out of emergency diverticulitis surgery
- Speed test: new PCR method outruns standard lab for abdominal infections
- Which surgery is safer for a burst colon? new study compares options
- Closing wounds later may cut infection risk after belly surgery
- 2500 patient records analyzed to find best treatment for belly emergencies
- Vacuum dressing may cut infection risk after emergency abdominal surgery