Influence of Probiotics Administration Before Liver Resection in Liver Disease
NCT02021253 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 64
Last updated 2018-05-15
Summary
Surgical resection is one of the curative treatment modalities for HCC. Limits are postoperative septic and liver functional complications related to an increase in bacterial translocation and systemic endotoxemia. Bacterial translocation is a passage of bacteria and bacterial degradation products from the intestine to the portal circulation. The endotoxemia secondary to bacterial translocation, stimulates endothelial production of nitric oxide (NO). NO is also a potent inducer of membrane instability, responsible for an increase in the permeability of the vascular endothelium and intestinal mucosa, possibly contributing to a worsening of bacterial translocation.
Probiotics are live microorganisms which when administered in adequate amounts, provide a health benefit on the host ((Health and Nutritional Properties of Probiotics in Food Including Powder Milk with Live Lactic Acid Bacteria - Cordoba Argentina October 2001). Data from experimental and clinical literature show a significant effect of probiotics on the improvement of liver function and a decrease in infectious complications in patients with chronic liver disease. The proposed study would evaluate the effect preventive and therapeutic in a population of surgical patients, in whom the intestinal portal and hepatic inflammation promotes postoperative complications.
Conditions
- Liver Fibrosis
- Liver Cirrhosis
- Permeability; Increased
- Hepatocellular Carcinoma
Interventions
- DIETARY_SUPPLEMENT
-
Probiotic
Lactibiane TOLERANCE vs Placebo
- DIETARY_SUPPLEMENT
-
Placebo
Sponsors & Collaborators
-
University Hospital, Rouen
lead OTHER
Principal Investigators
-
Lilian Schwarz, MD · DRCI Rouen
-
Emmanuel Huet, MD · DRCI Rouen
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-04-30
- Primary Completion
- 2018-04-12
- Completion
- 2018-04-12
Countries
- France
Study Locations
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