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| Name | Class |
|---|---|
| Göteborg University | OTHER |
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Perforated diverticulitis of the colon can be complicated by peritonitis, either purulent or fecal. Both are life threatening conditions requiring emergency surgery. The background in terms of reasons for inflammation (diverticulitis) and perforation to develop is unknown. In this study we focus on specific changes associated with inflammation, both in tissues and of fecal and mucosal microbiota.
A prospective study of abdominal fluid, periferal blood, tissues as well as feces in Patients (perforated diverticulitis with peritonitis undergoing emergency surgery, Group I), and in Controls (patients operated due to colorectal cancer, Group II; patients with mild diverticulitis not needing surgery, Group III).
Immune acitvity in abdominal fluid and periferal blood by immunoassay of 92 individual proteins. mRNA expression of 96 specific genes in tissue samples. Quatification of bacterial diversity in feces and colon mucosa.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I | Patients undergoing emergency surgery due to perforated diverticulitis with peritonitis. No intervention, samples from abdominal fluid, blood, tissue, feces | ||
| Group II | Patients with colorectal cancer undergoing elective surgery. No intervention. Samples as for Group I | ||
| Group III | Patients with mild diverticulitis, not undergoing surgery. No intervention. Samples from blood and feces. |
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| Measure | Description | Time Frame |
|---|---|---|
| inflammatory response | determination of levels of 92 proteins in abdominal fluid and blood | index surgery (Groups I and II)/ emergency room (Group III) |
| Measure | Description | Time Frame |
|---|---|---|
| inflammatory response in tissue | RNA sequencing (96 spcific genes) in abdominal tissue | index surgery (Groups I and II)/ emergency room (Group III) |
| microbiota composition | PCR amplification, cloning and sequencing of genes |
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Inclusion Criteria:
Exclusion Criteria:
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The aim is to study immune responses in patients with perforated divrticulitis leading to peritonitis and emergency surgery. This group will be compared with patients operated for colorectal cancer and patients with uncomplicated (mild) diverticulitis not undergoing surgery.
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| Name | Affiliation | Role |
|---|---|---|
| Eva Haglind, MD,PhD | Sahlgrenska univesitetssjukhuset | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sahlgrenska University Hospital/Östra | Gothenburg | Västra Götaland County | SE 416 85 | Sweden |
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| ID | Term |
|---|---|
| D010538 | Peritonitis |
| ID | Term |
|---|---|
| D059413 | Intraabdominal Infections |
| D007239 | Infections |
| D010532 | Peritoneal Diseases |
| D004066 | Digestive System Diseases |
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periferal blood, abdominal fluid, colon wall, feces
| index surgery (Groups I and II)/ emergency room (Group III) |