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临床试验/NCT01572155
NCT01572155已完成不适用

Pilot Study: Anti-inflammatory Effect of Peroperative Stimulation of the Vagus Nerve: Potential New Therapeutic Intervention to Shorten Postoperative Ileus

KU Leuven2 个研究点 分布在 1 个国家目标入组 24 人开始时间: 2012年3月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
KU Leuven
入组人数
24
试验地点
2
主要终点
levels of pro-inflammatory cytokines in serum, peritoneal lavage and supernatant of stimulated PBMCs (peripheral blood mononuclear cell)

研究概览

简要总结

Hypothesis:

Electrical stimulation of the abdominal vagus nerve has an anti-inflammatory effect and represents a new therapeutic approach to shorten postoperative ileus.

Aims:

In the present pilot study, the investigators want to evaluate the anti-inflammatory effect of peroperative electrical stimulation of the vagus nerve. To this end, the following aims are formulated:

  1. to optimize the technique of intra-operative electrical vagus nerve stimulation
  2. to show that electrical stimulation of the intra-abdominal vagus nerve reduces the inflammatory response to abdominal surgery
  3. to evaluate whether electrical stimulation of the vagus nerve leads to clinical improvement (collect pilot data)

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Triple (Participant, Care Provider, Investigator)

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients with rectal carcinoma eligible for open rectal resection
  • Age between 18 and 70 years

排除标准

  • Preoperative therapeutic abdominal radiation
  • Evident intra-abdominal inflammation (diagnosed by imaging and/or laboratory test results, including abscess or cholecystitis)
  • American Society of Anesthesiologists physical-health status classification (ASA-PS) >3
  • Poorly regulated diabetes (>200 mg/dl (=11mmol/l))

结局指标

主要结局

levels of pro-inflammatory cytokines in serum, peritoneal lavage and supernatant of stimulated PBMCs (peripheral blood mononuclear cell)

时间窗: From date of surgery until the date of lab analysis (in short time period after taking the blood sample) .Blood samples will be taken before surgery, 2, 24 and 48 hrs after surgery.

次要结局

  • time to first flatus(From date of surgery until the date of discharge from the hospital.)
  • gastric stasis (volume of gastric fluid produced by gastric tube on postoperative day 1)(From date of surgery until postoperative day 1.)
  • time to tolerance of oral food intake(From date of surgery until the date of discharge from the hospital)
  • Time to first defecation(From date of surgery until the date of discharge from the hospital.)
  • time to tolerance of oral food intake AND first defecation(From date of surgery until the date of discharge from the hospital)
  • gastrointestinal symptoms (nausea, pain, bloating)(From date of surgery until the date of discharge from the hospital)

研究者

发起方
KU Leuven
申办方类型
Other
责任方
Principal Investigator
主要研究者

Guy Boeckxstaens

Principal Investigator

KU Leuven

研究点 (2)

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