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Chronic Intestinal Pseudo-Obstruction (CIPO) is a rare gastrointestinal disorder that primarily affects the movement of the intestines, leading to symptoms that resemble a true bowel obstruction but without a physical blockage. This condition is characterized by impaired motility of the gastrointestinal tract, which can result in severe symptoms and complications. In previous studies, the investigator found that sequential microbiota transplantation therapy can improve clinical symptoms of chronic pseudo-obstruction. Building on this foundation, the current study further investigates the effects of sequential interventions involving intestinal cleansing, small intestine bacterial treatment, fecal microbiota transplantation, and nutritional therapy on the short-term and long-term clinical symptom improvement in patients. Additionally, the investigator aim to elucidate the changes in gut microbiota phenotypes before and after treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| sequential antibiotics treatment and fecal + small intestinal microbiota transplant | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sequential fecal microbiota transplant combined with small intestinal fluid transplant | Other | for eligible patients, the investigator use rifaximin, three times daily, 0.4 g each time, lasting 6 days followed by fecal microbiota transplant combined with small intestinal fluid transplant for 6 days. These procedures were repeated every 28 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Enteral Nutrition Tolerance | the maximal amount of enteral nutrition allowed daily | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Nutrition Status | intersectional muscle and fat area measurements by quantitative computed tomography | 52 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Need for surgery | Surgical interventions are performed due to intestinal nutritional intolerance, including procedures such as nutritional ostomy, decompression ostomy, and intestinal resection. | 52 weeks |
| Changes of both colerectal and small intestinal microbiota profile |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Tenth People's Hospital | Shanghai | China |
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|
Both colorectal and small intestinal bacteria profile before and after treatment. |
| 8 weeks |
| ID | Term |
|---|---|
| D007418 | Intestinal Pseudo-Obstruction |
| ID | Term |
|---|---|
| D045823 | Ileus |
| D007415 | Intestinal Obstruction |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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