New stent technique may replace ileostomy for rectal cancer patients
NCT ID NCT06204497
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a temporary stent placed inside the bowel could replace a traditional ileostomy (a bag outside the body) after rectal cancer surgery. 570 patients at high risk for leaks were randomly assigned to either the stent or ileostomy. The goal was to see if the stent could reduce hospital stays, lower costs, and improve quality of life without increasing serious complications.
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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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570 people
The number who actually took part.
- Started
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Jan 2024
- Finished
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Sep 2025
- 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 to 80 years
- 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. Rectal adenocarcinoma confirmed pathologically. 2. Rectal cancer patients with high-risk of anastomotic leakage(AL). 3. Age from over 18 to under 80 years. 4. Performance status of 0/1 on ECOG (Eastern Cooperative Oncology Group) scale. 5. ASA (American Society of Anesthesiology) score class I, II, or III. 6. Written informed consent. Definition of high-risk of AL (one of them): 1. Preoperative body mass index (BMI) ≥30 kg/m2; 2. Long-term use of glucocorticoids before surgery (≥2 weeks); 3. Poor general condition: Preoperative serum albumin was less than 30.0g/L after supportive treatment; or Preoperative renal replacement therapy (blood purification/hemodialysis) is required; or diabetes; 4. Preoperative neoadjuvant radiotherapy; 5. Distance between tumor and anal anus (baseline MRI) ≤7cm 6. The number of stapler used to cut the rectum during the operation ≥3; or the defect of anastomosis is observed; or Intraoperative leak test was positive. Exclusion Criteria: 1. History of previous rectectomy, except endoscopic mucosal resection or endoscopic submucosal dissection. 2. Familial Adenomatosis Polyposis Coli (FAP), Hereditary Non-Polyposis Colorectal Cancer (HNPCC), active Crohn's disease or active colitis ulcerosa. 3. History of unstable angina, myocardial infarction, cerebrovascular accident within the past six months. 4. Groups who are particularly vulnerable include those who suffer from mental disease, cognitive impairment, severe illness, adolescents, illiterates, women during pregnancy or breast-feeding, etc. 5. Patients with severe complications who do not tolerate surgery or need emergency surgery due to complication (bleeding, obstruction or perforation) 6. Unable ot radical resection, or underwent Miles or Hartmann or TaTME procedure, or requirement of simultaneous surgery for other disease (except the gallblader or appendix due to benign lesion).
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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.
Contacts and locations
Locations
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Beijing Friendship Hospital
Beijing, Beijing Municipality, 100000, China
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Cancer Hospital, Fudan University
Shanghai, Shanghai Municipality, 200000, China
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Cancer Hospital, Peking University
Beijing, Beijing Municipality, 100000, China
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ChangHai Hospital, The Second Military Medical University
Shanghai, Shanghai Municipality, 200000, China
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Chinese PLA General Hospita
Beijing, Beijing Municipality, 310000, China
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Fujian Union Hospital, Fujian Medical University
Fuzhou, Fujian, 350000, China
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Peking Union Hospital
Beijing, Beijing Municipality, 100000, China
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Shengjing Hospital, China Medical University
Shenyang, Liaoning, 110000, China
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Sichuan Cancer Hospital, University of Electronic Science and Technology of China
Chengdu, Sichuan, 610000, China
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Sichuan Provincial People's Hospital
Chengdu, Sichuan, 610000, China
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Sir Run Run Shaw Hospital, Zhejiang University
Hangzhou, Zhejiang, 310000, China
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The Affiliated Hospital, Qingdao University
Qingdao, Shandong, 266000, China
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The First Affiliated Hospital, Jilin University
Jilin City, Jilin, 132000, China
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The First Affiliated Hospital, Ningbo University
Ningbo, Zhejiang, 315000, China
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The First Affiliated Hospital, Sun Yat-Sen University
Guangzhou, Guangdong, 510000, China
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The First Affiliated Hospital, Zhejiang University
Hangzhou, Zhejiang, 310000, China
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The Second Affiliated Hospital, Wenzhou Medical University
Wenzhou, Zhejiang, 325000, China
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Union Hospital, Huazhong University of Science and Technology
Wuhan, Hubei, 430000, China
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Xiangya Hospital, Central South Universit
Changsha, Hunan, 410000, China
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Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Immunotherapy added to standard treatment aims to save the anus in Ultra-Low rectal cancer
- New injectable drug tested against Hard-to-Treat solid tumors
- Robotic surgery vs standard approaches: does the platform change cancer outcomes?
- Could a nasal tube replace a temporary ileostomy after rectal cancer surgery?
- Blood test aims to catch Cancer's return earlier
- Blood test guides immunotherapy for hidden cancer cells