An observational study in Acute Abdomen, Emergency Surgery and Laparotomy, sponsored by Jawaharlal Nehru Medical College. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-08-25.
Sponsored by Jawaharlal Nehru Medical College · Observational
Background: The importance of cecal pathologies lie in the fact that being the first part of large intestine, any disease involving the cecum affects overall functioning of the large bowel. Primary cecal pathologies presenting as acute abdomen have not been described in any previous study in terms of presentation, management and outcome.
Objectives: The objective of this study was to identify the reported causes of primary cecal pathologies presenting as acute abdomen and the various causes presenting in Indian setting, to discuss morbidity and mortality associated with cecal pathologies and to critically analyse the various management modalities employed in emergency setting.
The importance of cecal pathologies lie in the fact that being the first part of large intestine, any disease involving the cecum affects overall functioning of the large bowel. Primary cecal pathologies presenting as acute abdomen often pose a challenge to their optimal management due to requirement of urgent intervention in most cases and being a common source of misdiagnosis. These pathologies often mimic acute appendicitis and commonly misdiagnosed as one. This misdiagnosis can lead to under-treatment of the underlying pathology and this results in high morbidity and mortality associated with these conditions. So the accurate identification of such conditions is required so that the patients can be optimally managed and patient outcome can be improved.
65 studies on the registry are indexed under Abdomen, Acute; 14 are open to participants now.
This study's enrollment of 43 is below the median of 233 across 36 observational studies indexed under Abdomen, Acute.
Browse Abdomen, Acute studies →Jawaharlal Nehru Medical College is the lead sponsor of 5 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
All adult patients presenting in the emergency department with acute abdomen were included in study in whom cecal pathology as the cause of acute abdomen was suspected clinically and/or on imaging and further confirmed per-operatively and/or on histopathological examination (HPE) or on imaging.
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Exclusion Criteria:
Patients who were discharged in index hospital admission after operative intervention
Procedure: Operated
Patients who expired in index hospital admission after operative intervention
Procedure: Operated
Patients who were discharged in index hospital admission after being managed conservatively
Patients who expired in index hospital admission after being managed conservatively
Patients were either managed conservatively or underwent emergency laparotomy
Pattern of primary cecal pathology in Indian setting
The objective of this study was to identify the reported causes of cecal pathology presenting as acute abdomen in medical literature and the various causes presenting in Indian setting, to identify the pattern of common pathologies in Indian setup, to discuss morbidity and mortality associated with cecal pathologies and to critically analyse the various management modalities commonly employed for cecal pathologies presenting as acute abdomen.
Time frame: 10 years
No study locations are listed for this record.
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: Undecided — Data can be shared on request for multi-institutional prospective studies.
Ran from Jan 2016 to primary completion in May 2017, 16 months.
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This study is completed, as verified in Aug 2017. You cannot join it, but the record below documents what was studied.
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Jawaharlal Nehru Medical College