Bacterial Translocation, Cell Proliferation, Inflammation
Conditions
Keywords
Colorectal surgery, Probiotics, Lactobacillus, Bacterial translocation, Postoperative complications, Inflammatory reaction
Brief summary
Intestinal pathogenes are often involved in postoperative complications after colon surgery. Probiotic bacteria, i e live bacteria which have beneficial effects on the host when ingested, have been shown to reduce bacterial translocation in animal studies. However, in humans studies results have varied. The purpose with this study was to find whether high doses of Lactobacillus plantarum 299v affects the potentially pathogenic microflora of the gut, bacterial translocation and cell proliferation in patients undergoing planned colon surgery.
Interventions
Bacteria in a concentration of 10(9) CFU/ml
Oatmeal drink as in arm 1 but without bacteria added.
Sponsors
Study design
Eligibility
Inclusion criteria
* planned resection of colon for malignant or benign disease * all ages
Exclusion criteria
* unable to understand instructions and perform preoperative intake of study preparation * rectal surgery * present or past history of endocarditis * congenital or acquired valvular heart disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in intestinal bacterial microflora | Before inclusion, after treatment, during surgery, postoperative day 6, 6 weeks, 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Bacterial translocation | During surgery |
| Inflammatory response (cytokines) | Preoperative, during operation, 3, 24 an 48 hours postoperastive |
| Cell proliferation | During surgery |
| Postoperative complications | One week after surgery |
Countries
Sweden