MedPath

Tibial Nerve Stimulation and Postoperative Ileus

Not Applicable
Completed
Conditions
Postoperative Ileus
Registration Number
NCT02815956
Lead Sponsor
University Hospital, Angers
Brief Summary

Postoperative ileus (POI) causes patient's discomfort and leads to an increase of cost of management after colorectal surgery because of an increase of the morbidity rate or of the rate of early rehospitalization after discharge.

Enhanced recovery programs allowed a reduction of its rate but 20 to 30% of patients will experiment POI.

A new approach during preoperative era, using mastication or preoperative physical activity, has been proposed to improve postoperative course. This leads to a vagal activation (action especially on upper GI).

Sacral stimulation using percutaneous tibial nerve stimulation (PTNS) has an effect on lower GI.

The aim of this study was to assess the efficacy and the feasibility of PTNS during perioperative course, to prevent POI with respect with placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • patients > 18 years
  • elective colectomy or proctectomy
  • agreement for the research
Exclusion Criteria
  • chronic inflammatory bowel disease
  • irritable bowel disease documented
  • history of surgery on oesophagus or stomach
  • acetylcholine dysfunction
  • enterostoma
  • patient holder of pace-maker

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
delay before solid food tolerance and first stool recovery (expressed in days afters surgery). Day 0 (D0) is the day of surgery.data collected from 6 hours after the end of surgery to the recovery. This recovery is expected to be between 1 and 6 days after surgery. Recovery will be assessed 3 times a day (7.00 am, 12.00 am, 6.00 pm)
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University Hospital Center

🇫🇷

Angers, France

University Hospital Center
🇫🇷Angers, France

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