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Fistula clinical trials

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NCT ID: NCT04876690 Completed - Crohn Disease Clinical Trials

A Study of the Quality of Life in Adults With Crohn's Disease With Complex Perianal Fistulas

CONFLICT
Start date: July 9, 2021
Phase:
Study type: Observational

The main aim of the study is to assess the quality of life of people with Crohn's disease after treatment for complex perianal fistulas in a standard clinic setting. Study doctors will review the participants' medical records in the last 3 years. Participants will also be asked to visit the clinic once to complete 1 questionnaire on their quality of life.

NCT ID: NCT04844593 Completed - Crohn Disease Clinical Trials

A Study Using Artificial Intelligence to Identify Adults With Complex Perianal Fistulas Associated With Crohn's Disease

INTUITION-CPF
Start date: March 8, 2022
Phase:
Study type: Observational

Natural Language Processing and machine learning are examples of artificial intelligence tools. This study will check if these tools correctly identify people with Crohn's disease with complex perianal fistulas from their medical records.

NCT ID: NCT04834609 Completed - Perianal Fistula Clinical Trials

Adipose Derived Mesenchymal Stem Cell Characteristics in Anal Fistulas

Start date: January 2015
Phase: N/A
Study type: Interventional

This study investigated the cellular and molecular characteristics of AT-MSCs obtained from autologous AT therapy in patients with high transphincteric perianal fistulas of crytoglandular origin. Adipose tissue was injected into anal fistulas. Characteristics of adipose tissue mesenchymal stemcells (AT-MSC) was investigated and compared in patients with fistula that healed after the treatment (responders) to patients who failed to heal (non-responders)

NCT ID: NCT04814901 Completed - Clinical trials for Patient Satisfaction

Using Reverse Flow Based Flap VS Palatal Pedicled Flap for Closure of Recurrent Small & Medium Sized Oronasal Fistula.

Start date: December 3, 2020
Phase: N/A
Study type: Interventional

Research question: What are the outcomes of using the Facial artery Musculomucosal (FAMM) Flap to close recurrent small and medium sized oronasal fistulae based on reverse flow on patient's satisfaction versus using the Palatal Pedicled flap? Statement of the problem: To determine whether the using the Facial artery Musculomucosal (FAMM) Flap to close recurrent small and medium sized oronasal fistulae which are difficult to manage could meet the patients satisfaction regarding both success and function versus using palatal pedicled flap

NCT ID: NCT04811105 Completed - Anal Fistula Clinical Trials

INVESTIGATION OF THE EFFICACY OF FISTULA OBLITERATION BY STEAM ABLATION IN PERİANAL FISTULAS

STEAM
Start date: November 10, 2018
Phase: N/A
Study type: Interventional

Perianal fistula(PF) is one of the most frequent disease in anorectal disease.The incidence of PF is 8,6 -10 / 100 000 . The first surgical treatment is defined by Hippocrates in PF .This surgical treatment which found by Hippocrates , involves seton insertion into the tract of fistula . Today most of surgeon still use the same technic but PF is really hard disease to treat. Recurrence rate of PF is really high and there are lots of complication about this disease. The most scary complication during the surgery or postoperatively is anal disfunction. ın PF surgical technics involves ;fistulectomy (coring out), lay open (fistulotomy), Ligation of Intersphincteric Fistula Tract, advancement flap and laser ablation of the fistula tract . The popularity of laser ablation of the fistula tract is increasing day by day.This surgical procedure is applied with the laser device which use in varicose vain ablation in vascular surgery.In this study the investigator are trying to find out the effect of steam ablation in PF on rats.

NCT ID: NCT04771832 Completed - Fistula Clinical Trials

ERAS in Gastrointerstinal Fistulas.

Start date: January 1, 2011
Phase:
Study type: Observational [Patient Registry]

An enterocutaneous fistula (ECF) poses a major surgical problem. The definitive surgical repair of persistent fistulas remains a surgical challenge with a high rate of re-fistulation and mortality, and the reasons for that is not the surgical technique alone. Enhanced Recovery after Surgery (ERAS®) is an evidence-based multimodal perioperative protocol proven to reduce postoperative complications. The aim of the study was to assess the clinical value of ERAS protocol in surgical patients with ECF.

NCT ID: NCT04740086 Completed - Anal Fistula Clinical Trials

"Feasibility and Safety of the Calcium Alginate Hydrogel Sealant for the Treatment of Cryptoglandular Fistula-in-ano: Phase I/IIa Clinical Trial"

Start date: January 1, 2016
Phase:
Study type: Observational

Background: Complex perianal fistulas pose a challenge to surgeons since the fistulous tract must be eliminated without impairing continence. Biological sealants have emerged as an effective alternative for maintaining the integrity of the anal sphincter. The investigators aimed to assess the feasibility and safety of calcium alginate hydrogel injections into the tract as treatment for complex cryptoglandular fistulas. Methods: A prospective, single-center, case series of this novel technique was conducted in a level 3 hospital, including patients diagnosed with trans-sphincteric perianal fistulas and treated with a calcium alginate hydrogel sealant. A strict follow-up was performed by an independent surgeon at 1, 3, 6, and 12 months. The main outcome measures were feasibility, safety (number of adverse events) and efficacy of the treatment.

NCT ID: NCT04736875 Completed - Clinical trials for End-stage Renal Disease

Arteriovenous Fistula Maturation Evaluation Study. FAME Study

Start date: February 1, 2019
Phase:
Study type: Observational

Study of the features of hemodynamic and clinical maturation of the native arteriovenous fistula for hemodialysis.

NCT ID: NCT04724551 Completed - Pancreas Neoplasm Clinical Trials

The Neutrophil-to-Lymphocyte Ratio to Exclude Pancreatic Fistula

NLR
Start date: June 1, 2012
Phase:
Study type: Observational

There is still no consensus on whether drain fluid amylase (DFA) level, C-reactive protein (CRP) level, or complex scores predict clinically relevant postoperative pancreatic fistula (CR-POPF). The aim of this study is to determine the accuracy of simple biochemical parameters (leucocytes, neutrophils, lymphocytes, Neutrophil to Lymphocytes Ratio (NLR), at postoperative days 1 and 3) to exclude the diagnosis of CR-POPF.

NCT ID: NCT04724174 Completed - Pancreatic Fistula Clinical Trials

Pancreaticogastrostomy for High-Risk Pancreas

GASTROPAN
Start date: June 1, 2013
Phase:
Study type: Observational

In 2013, a double purse-string telescoped pancreaticogastrostomy (PG) technique appeared to significantly reduce the risk of postoperative pancreatic fistula (POPF). This study compared the incidence of clinically relevant POPF in patients with high-risk anastomosis after undergoing PG or pancreaticojejunostomy (PJ) techniques.