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The goal of this observational study is to learn about the key bacterial flora and metabolites associated with appendicitis in children. The main questions it aims to answer are:
Participants will detect feces using 16s ribosomal RiboNucleicAcid (16S rRNA) gene sequencing technology and differences of the fecal metabolites between healthy children and appendicitis children were analyzed using untargeted metabolomics based on Liquid chromatography-tandem mass spectrometry(LC-M S/MS) platform.Through the analysis of intestinal bacterial flora and metabolomics association and the differential analysis of intestinal bacterial flora in different parts of the case group, the key bacterial flora and metabolites were excavated.
Participants will detect feces using 16s ribosomal RiboNucleicAcid (16S rRNA) gene sequencing technology and differences of the fecal metabolites between healthy children and appendicitis children were analyzed using untargeted metabolomics based on Liquid chromatography-tandem mass spectrometry(LC-M S/MS) platform.
Differences in the intestinal flora of different parts of the case group: the intestinal flora of the case group in feces and rectum were detected by 16s ribosomal RiboNucleicAcid (16S rRNA) gene sequencing technology, and the intestinal flora of different parts were analyzed and compared.
Through the analysis of intestinal bacterial flora and metabolomics association and the differential analysis of intestinal bacterial flora in different parts of the case group, the key bacterial flora and metabolites were excavated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Case group | Children with appendectomy for appendicitis | ||
| Control group | Children with no digestive disease or medical history |
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| Measure | Description | Time Frame |
|---|---|---|
| The 16S rRNA gene sequence | Samples were qualified for Polymerase Chain Reaction(PCR) amplification of the V3 and V4 variable regions of the 16 rRNA gene. The Polymerase Chain Reaction(PCR) products were then quantified by confirming the presence of PCR amplicons by gel electrophoresis on a 2% agarose gel and staining with ethidium bromide, and equimolar amounts (100 ng) of PCR amplicons were pooled prior to pyrosequencing. High-throughput sequencing of the qualified 16S amplicon libraries. | up to 24 weeks |
| Fecal untargeted metabolomics testing | To analyze the fecal metabolite differences and the correlation of appendicitis and metabolites using untargeted metabolomics based on the LC-M S/MS platform. To screen key metabolites in pediatric appendicitis. | up to 24 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Children aged 1-14 in Department of Pediatric Surgery in Shandong Qianfoshan Hospital
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Qu | Contact | +8613905316435 | qhyzhl8083@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Qu | Shandong First Medical University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital Of Shandong First Medcial Unversity | Recruiting | Jinan | Shandong | 0531 | China |
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| ID | Term |
|---|---|
| D001064 | Appendicitis |
| ID | Term |
|---|---|
| D059413 | Intraabdominal Infections |
| D007239 | Infections |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
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Before antibiotics for children in the case group, a stool sample (5-10 g) was collected from all of the included subjects and placed in a sterile enzyme-free (no RNA and DNA enzyme) cryopreservation tube.
When children with appendicitis are taken to the operating room and placed under anesthesia, the patient is collected and collected after storage using sterile preservation fluid. After the appendectomy, the full length of the appendix cavity was wiped with a sterile cotton swab under a sterile environment, and then the swab was placed into a sterile collection tube. Specimens were transported and stored at-80℃ until analysis.
| D004066 |
| Digestive System Diseases |
| D002429 | Cecal Diseases |
| D007410 | Intestinal Diseases |