Diverticular Disease Clinical Trial
Official title:
Pilot Study: MRI Study of Diverticular Disease Symptoms and Its Relationship to Visceral Adipose Tissue
In this study, our novel MRI techniques for studying the small bowel will be applied to patients with diverticular disease. The ratio of visceral to subcutaneous fat will also be determined using MRI measurements. These data will be correlated with measurements of adipokines to determine if visceral fat has a specific influence on the severity of diverticular disease.
Colonic diverticulosis is the most common structural abnormality of the colon and studies
suggest that its incidence and/or complications are increasing. Increasing evidence suggests
a link between obesity and complications of diverticular disease. With the prevalence of
obesity increasing in westernised populations, the risk of complications from diverticular
disease is likely to also increase. At present however, there is little understanding of how
diverticular complications are increased by obesity. A high BMI might be a surrogate marker
for other lifestyle factors which predispose to diverticular complications. Visceral fat may
also have an influence on related complications, due to the compounds secreted by
adipocytes.
Altered bowel habit is a common complaint of diverticular patients. The cause is not well
understood, is probably multi-factorial, and may include changes in the small bowel. Until
recently, studies of the large and small bowel required intestinal intubation and perfusion
and could not be performed on the undisturbed colon. New MRI techniques have now been
developed, which allow these areas to be studied non-invasively. Abdominal fat can also be
measured using MRI, and the distribution of subcutaneous and visceral fat will be compared
for symptomatic and asymptomatic diverticular patients.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03935100 -
Prophylactic Endoscopic Clipping of Diverticula (PECoD)
|
N/A | |
Completed |
NCT01120340 -
Evaluation of Efficacy of Mesalamine in the Long-term Prevention of Diverticulitis Flares
|
Phase 3 | |
Recruiting |
NCT02598414 -
The Role of Indocyanine Green (ICG) Fluorescence Imaging on Anastomotic Leak in Robotic Colorectal Surgery
|
Phase 2/Phase 3 | |
Completed |
NCT02068482 -
Immunohistology in USDD and Correlation Between Bacterial Flora and Phlogosis
|
Phase 4 | |
Completed |
NCT04173182 -
Confocal Laser Endomicrospy in Colonic Diverticular Disease
|
||
Completed |
NCT02849717 -
Pre-Habilitation Exercise Intervention
|
N/A | |
Withdrawn |
NCT02221713 -
The Gut Microbiome in Diverticulitis and Diverticulosis
|
||
Recruiting |
NCT03490279 -
Lactoferrin for the Treatment of Symptomatic Uncomplicated Diverticular Disease
|
N/A | |
Recruiting |
NCT02500992 -
Bacterial Contamination in Transrectal Hybrid NOTES Sigmoidectomy
|
N/A | |
Recruiting |
NCT01626963 -
Single-port Versus Conventional Laparoscopic Colorectal Surgery
|
Phase 1/Phase 2 | |
Recruiting |
NCT00747292 -
Peri-Operative Management of Patients Undergoing Laparoscopic Colorectal Surgery
|
Phase 1/Phase 2 | |
Completed |
NCT02115867 -
Effect of a Probiotic on Diverticular Symptoms
|
Phase 3 | |
Terminated |
NCT03455751 -
Precision Pain Management for Major Abdominal Surgery in Colorectal Surgery
|
N/A | |
Completed |
NCT02094456 -
Prophylactic Elective Clipping of Colonic Diverticula
|
N/A |