Colorectal Cancer
Conditions
Keywords
Probiotics, colorectal cancer, postoperative infection, immune function, bacterial translocation, gastrointestinal surgery
Brief summary
The investigators would study about impact of the administration of probiotics in the intestinal mucosa of patients undergoing resection colic, by evaluating cytokine profile by quantitative real time PCR. The investigators believe that patients who use probiotic preoperative would provide cytokine profile less inflammatory than those of the control group.
Detailed description
Samples of colorectal cancer-free mucosa derived from patients who underwent surgical resection were investigated. Quantitative real-time polymerase chain reaction (RT-qPCR) was used to determine expression levels of the following genes: IL10, IL1B, IL23A, TNF, IL12B, INFG, IL17A.
Interventions
The patients received one oral lyophilized yeast capsule, each of which contains 100 mg (0,5 x 109 cfu/g) of Saccharomyces boulardii (Merck S.A., Biocodex, Beauvais, French), once a day. The treatment started at least seven days before surgery and stopped on the operation day.
Sponsors
Study design
Eligibility
Inclusion criteria
* if he or she were older than 18 years * intended to undergo elective CRC resection at UFMG Hospital
Exclusion criteria
* Patients were excluded if they were not able to receive the probiotics seven days before the operation * if colon resection was not performed due to changes in operation strategy, or if they discontinued probiotic use on their own or * if they removed their consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in gene expression of citokynes | 15 days | Colonic mucosal specimens were analyzed to determine the mucosal expression profiles of IL1B, IL12B, IL10, IL23A, INFG, IL17A and TNF. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | 30 days | Postoperative complications assessed up to 30 days |
Countries
Brazil