Foregut Leaks-Role of Microbiome
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Biopsy and fluid samples.
- Who it may be relevant to
- Registry conditions: Gastrointestinal Diseases. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Role the Microbiome Plays in Foregut Leaks: Understanding and Utilizing This Information to Improve Patient Outcomes
Overview
Aims 1. To understand the microbial composition involved with foregut leaks 2. To define the virulence changes in the microbiota following foregut leaks 3. To identify host response mechanisms and how they change with interventions 4. Utilize this information to improve patient outcomes
Detailed description
For this study, investigators will compare the microbial composition of the infected fluid from the leak to that of a tissue sample taken from the participant. This will allow investigators to compare the composition and virulence of the microbiome both within and between participants. These comparisons will help further the understanding of the pathogenesis of these leaks, as well as identify which participants may be most at risk of developing postoperative leaks. The combination of this information has the potential to contribute to the development of preventative measures and improve patient outcomes.
Interventions
- Other Biopsy and fluid samples
Biopsy and fluid samples taken during other medically necessary procedure
Primary outcome measures
- Microbial composition of samples [Time frame: During the surgery]
- Time of healing of leaks [Time frame: From index intervention until documented leak resolution ( up to 24 weeks)]
- Proportion of patients achieving leak closure without need for additional surgical intervention [Time frame: Up to 24 weeks post-surgery]
- Incidence of postoperative complications [Time frame: Within 30 days post-surgery]
Secondary outcome measures (2)
- Patient demographics [Time frame: Baseline or anytime before surgery]
- Patient risk of postoperative complications [Time frame: Post surgery until the time leak is healed ( up to 24 weeks)]
Eligibility criteria
Inclusion criteria
- Patients with an esophageal or stomach leak
- Over 18 years old
Exclusion criteria
- Patients determined by physician/surgeon as not able to tolerate biopsy
- Under 18 years old
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Basic science
Study locations
United States · 1 center
- Baylor Scott & White Center for Advanced Surgery — Dallas
Identifiers
NCT: NCT07424469 · 020-307