Postoperative Ileus, Surgery-Complications
Conditions
Brief summary
Postoperative ileus (POI) after colorectal surgery is frequent and is a burden for national health authority because it increases the morbidity and the length of hospital stay. Some of the stage of the mechanism of POI are known and are now targeted to reduce its occurence but despite these measures, POI still happens in 10-30% of surgeries. The role of the intestinal microbiota in POI is unknown while it could be a new target to reduce its duration or its occurence.
Interventions
Feces will be collected, at home, by the patient., by using a collection kit. The stools are collected in the 2 last days before surgery. After surgery, the first stool is collected, during the hospitalization, by using the same kit. Stools are conserved in the same condition, before being frozen in our local biologic ressources center.
Sponsors
Study design
Eligibility
Inclusion criteria
* laparoscopic colorectal resection with anastomosis and without diverting stoma
Exclusion criteria
* risk of modification of the microbiota (terminal enterostomy, chronic inflammatory bowel disease, oesophageal or gastric surgery, vagal nerves lesion, beta lactamin allergy, bowel cleansing) * postoperative complication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Composition of the feces microbiota before surgery | within the 2 last days before surgery | The composition of the microbiota will be assessed by the analysis of the region V3 V4 of the 16S rRNA, amplificateur by high flow sequencing |
| Composition of the feces microbiota after surgery | up to the first postoperative stools, an average of 3 postoperative days | The composition of the microbiota will be assessed by the analysis of the region |
Countries
France