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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05983926
Other study ID # STC-20230704
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 1, 2020
Est. completion date June 30, 2023

Study information

Verified date August 2023
Source Shanghai 10th People's Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Chronic constipation is a heterogeneous disease with multiple symptoms, and its incidence is on the rise in many countries. It has become a common disease affecting the quality of life. When these patients fail to respond to standardized and systematic non-surgical treatment, and the relevant examination suggests that there are surgical indications, surgical treatment should be considered. The cure rate of surgical treatment can reach 95%. The purpose of this study was to evaluate the intestinal motility, nutritional status, immune function and intestinal environment of patients by measuring BMI, biochemical tests and nutritional risk related questionnaires.


Recruitment information / eligibility

Status Completed
Enrollment 60
Est. completion date June 30, 2023
Est. primary completion date March 31, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria: - Disease duration more than 6 years; - Wexner constipation score >15; - No response to medical treatment, biofeedback and fecal microbiota transplantation; - according to the surgical indications; - All patients were informed of this study and signed the informed consent. Exclusion Criteria: - Suffering from mental disorders or cognitive impairment; - With malignant tumors; - - With history of gastrointestinal surgery; - Complicated with other organ dysfunction; - With immune system diseases.

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Subtotal colectomy was performed
Colonic subtotal resection, also known as subtotal colectomy, is a surgical procedure used to treat colonic diseases such asconstipation, colon cancer, ulcerative colitis, and others. The purpose of this surgery is to remove a portion of the colon in the patient's body. Unlike a total colectomy, which involves removing the entire colon, a subtotal colectomy only removes a portion of the colon. The procedure typically involves removing the diseased part of the colon and reconnecting the remaining colon. This allows for the preservation of some normal colonic function, enabling the patient to have regular bowel movements.

Locations

Country Name City State
China Shanghai Tenth People's Hospital Shanghai Shanghai

Sponsors (1)

Lead Sponsor Collaborator
Shanghai 10th People's Hospital

Country where clinical trial is conducted

China, 

Outcome

Type Measure Description Time frame Safety issue
Primary The nutritional status of the patients was assessed according to the scores of nutritional risk screening and assessment tool Nutritional Risk Screening2022(NRS2002) The full length of NRS2002 is called Nutritional Risk Screening2022. The minimum score is 0 and the maximum score is 3, with higher scores indicating higher nutritional risk. Baseline and 6 months after surgery
Primary The nutritional status of the patients was assessed according to the scores of nutritional risk screening and assessment tool Malnutrition Universal Screening Tool (MUST). The full name of MUST is Malnutrition Universal Screening Tool, score 0: low risk; Score 1: moderate risk; A score of 2 or higher is considered high risk. Baseline and 6 months after surgery
Primary The nutritional status of the patients was assessed according to the scores of nutritional risk screening and assessment tool Mini Nutritional Assessment (MNA). Mini Nutritional Assessment (MNA) is defined as "good nutritional status" when MNA=24. 17=MNA < 24, nutritional risk; MNA < 17 indicated malnutrition. Baseline and 6 months after surgery
Primary The peristalsis status of patients was evaluated according to the frequency of defecation and the character of feces. Baseline and 6 months after surgery
Primary The changes of fecal microbiota were detected by 16SDNA sequencing. Baseline and 6 months after surgery
Primary Quantitative changes in immune cells were determined by flow cytometry of blood samples. Baseline and 6 months after surgery
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