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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Receives Lactobacillus plantarum 299v in an oatmeal drink, at a concentration of 10(9) colony-forming-units/ml, 100 ml per day, starting one week before surgery, finishing 5 days after surgery. |
|
| 2 | Placebo Comparator | Receives oatmeal drink, 100 ml per day, starting one week before surgery, finishing 5 days after surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lactobacillus plantarum 299v in oatmeal drink | Dietary Supplement | Bacteria in a concentration of 10(9) CFU/ml |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in intestinal bacterial microflora | Before inclusion, after treatment, during surgery, postoperative day 6, 6 weeks, 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Bacterial translocation | During surgery | |
| Inflammatory response (cytokines) | Preoperative, during operation, 3, 24 an 48 hours postoperastive | |
| Cell proliferation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Peter Mangell, MD | Dept of Surgery, Malmö University Hospital, Malmö, Sweden | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dept of Surgery, Malmö University Hospital | Malmö | S-20502 | Sweden |
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| ID | Term |
|---|---|
| D007249 | Inflammation |
| D006965 | Hyperplasia |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Oatmeal drink | Dietary Supplement | Oatmeal drink as in arm 1 but without bacteria added. |
|
| During surgery |
| Postoperative complications | One week after surgery |