This Study Has Been Designed to Support the Working Hypothesis That Emergency Surgery in a Colon Obstruction Neoplasm is Better Than Stent Bridge Due to Better Oncological Outcomes, Analyzing the Importance of ERAS Programs in Emergency Colon Obstruction Surgery.

NCT07204665 | Enrolling By Invitation DMC

• 1 other identifier: EUCOBS
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

This study has been designed to support the working hypothesis that emergency surgery in a colon obstruction neoplasm is better than stent bridge due to better oncological outcomes. The primary objective is to analyse the importance of ERAS program implementation in emergency colon obstruction surgery

Conditions

Colon Obstruction

Outcome Measures

Primary Outcomes (1)

• Postoperative complications

  The primary objective is to analyse the importance of ERAS program implementation in emergency colon obstruction surgery

  From enrollment to 90 days

Secondary Outcomes (5)

• 1 year survival analysis

  360 days after surgery

• Overall survival

  365 days after surgery

• disease-related survival

  365 days after surgery

• disease-free survival

  365 days after surgery

• Relationship between stent bridge and colon perforation

  60 days after stent placement

Study Arms (2)

Urgent

Patients with urgent surgery

Elective

Patients with elective surgery

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients (aged \>18 years) with a diagnosis of Malignant obstruction colorectal cancer.

You may qualify if:

• All adult patients (aged \>18 years) with a diagnosis of Malignant obstruction colorectal cancer. Informed consent will be obtained from all subjects who will participate in the study voluntarily.
• ASA I, II and III
• No more than 5 days from symptoms onset.
• Absence of proximal colon severe dilatation( no more than 8 centimeters), severe malnutrition.
• No Inmunocompromised patients
• Patients suffer from segmentary colectomy, with or without anastomosis with o witjhout lateral ileostomy
• Patients suffer from Hartmann procedure.

You may not qualify if:

• Patient refusal.
• Patients under 18 years of age.
• ASA IV
• Stent placement
• ICU stay more than 2 days
• Peritonitis
• Out of protocol if patient would need total parenteral nutrition(NPT) during postoperative or Clavien-Dindo more or equal than II.

Sponsors & Collaborators

• Universidad de Zaragoza: lead

Study Sites (1)

Hospital de Urduliz

Bilbao, Vizcaya, 49600, Spain

Location

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Full Professor

Study Record Dates

• First Submitted: September 24, 2025
• First Posted: October 2, 2025
• Study Start: July 1, 2025
• Primary Completion: April 30, 2026
• Study Completion (Estimated): April 30, 2027
• Last Updated: October 2, 2025

Record last verified: 2025-09

Locations

ES (1)