MedPath

Probiotics Combined with Enteral Nutrition Reduces Postoperative Infectious Complications in PD

Phase 1
Recruiting
Conditions
Infectious Complications
Interventions
Registration Number
NCT06719596
Lead Sponsor
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Brief Summary

Probiotics combined with enteral nutrition reduces postoperative infectious complications in PD

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
68
Inclusion Criteria
  • Adult patients greater than 18 years of age;
  • Indication for elective pancreaticoduodenal surgery;
  • Patients who understand the nature of the trial and are willing and able to provide written consent
Exclusion Criteria

. Current or recent (within the previous 1 month) use of probiotic-based products or antibiotic therapy medications.

Inability to tolerate PD due to cardiopulmonary function and other parameters

  • Received radiotherapy before surgery
  • Emergency PD surgery
  • Pregnant and breastfeeding women

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Probiotics combined with enteral nutrition reduces postoperative infectious complications in PDBifidobacterium Bifidum Oral Capsuleenteral nutrition+Pre-operative + one week post-operative Oral Bifidobacterium bifidum live triple capsule, 4 capsules Oral BID
Primary Outcome Measures
NameTimeMethod
infectious complication30 days after surgery

1. Post-operative infections: Surgical site infections (SSI): including surgical incision infections and abdominal cavity infections.

(1) incision infection: purulent secretions in the incision and culture of pathogenic bacteria (2) abdominal cavity infection: diagnosis can be made by meeting one of the following criteria: ① postoperative symptoms of systemic infection (fever \> 38 ° C, white blood cell count higher than the upper limit of normal values), accompanied by abdominal distension, abdominal pain, and signs of peritonitis; ② abdominal drainage or puncture drainage fluid is purulent fluid, positive bacteriological culture results; ③ ultrasound, CT and other imaging tests or re-operation to confirm the presence of oozing or encapsulated abscess in the abdominal cavity; ③ ultrasound, CT and other imaging tests or re-operation to confirm the presence of oozing or encapsulated abscess. (iii) ultrasound or CT imaging or re-surgical confirmation of the presence of intra-abdominal ex

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

321 Zhongshan Road, Nanjing Gulou Hospital, Gulou District, Nanjing, Jiangsu Province, China

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Nanjing, Jiangsu, China

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