Surgical approaches for reconnecting the intestine after trauma
Enteric Anastomoses in Trauma
This project collects past hospital data to see which surgical approach—immediate reconnection, delayed reconnection, or a temporary ostomy—works best for adults with traumatic small or large bowel injuries.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 100 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Methodist Health System Academic / other |
| Locations | 1 site (Dallas, Texas) |
| Trial ID | NCT07490158 on ClinicalTrials.gov |
What this trial studies
This is a retrospective data repository using the Methodist Dallas Medical Center trauma registry to compile cases of traumatic small and large bowel injuries. Researchers will aggregate patient demographics, injury codes, operative approach (initial primary anastomosis, delayed anastomosis, or ostomy diversion), and outcomes such as complications, leak rates, length of stay, and mortality. The goal is to permit quality-improvement analyses comparing these management strategies and to identify factors linked with better or worse outcomes. Eligible records are adults (18+) with diagnostic codes for bowel injury, while prisoners, pregnant persons, and other protected populations are excluded.
Who should consider this trial
Good fit: Adults (18 years or older) treated at Methodist Dallas Medical Center with a documented traumatic injury to the small or large bowel are the intended cases for this repository.
Not a fit: People under 18, prisoners, pregnant persons, and patients treated outside the Methodist Dallas registry are not included and would not directly benefit from this dataset.
Why it matters
Potential benefit: If successful, the repository could help surgeons choose safer surgical options after bowel trauma and reduce complications and recovery time.
How similar studies have performed: Prior observational series have shown mixed results, with some evidence that primary anastomosis can be safe in selected trauma patients but randomized data are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 18 years old Included in the MDMC(Methodist Dallas Medical Center) Trauma Registry Any diagnosis code indicative of injury to the large and/or small bowel (S36.5 and/or S36.4) Exclusion Criteria: \<18 years old Prisoners, pregnant persons, or other protected population.
Where this trial is running
Dallas, Texas
- Methodist Dallas Medical Center- Clinical Research Institute — Dallas, Texas, United States (Recruiting)
Study contacts
- Principal investigator: Andrew Karpisek, MD — Methodist Health System
- Study coordinator: Crystee Cooper, DHEd
- Email: ClinicalResearch@mhd.com
- Phone: 214-947-1280
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.