Neuropathological Changes of the Intestinal Wall in Patients With Bowel Evacuation Disorders
NCT05016700 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 500
Last updated 2025-03-10
Summary
Constipation and defecation disorders affect about 15% of the European population and of those up to 30% of the patients over 65 years of age. For those affected, this is associated with major restrictions in quality of life and high health care costs .
The underlying causes of constipation and defecation are complex and only partially understood.
Intestinal (full wall) resections taken in clinical practice from these patients when conservative therapy has been exhausted show rarefaction of ganglion cell nests in the myenteric plexus and submucosal plexus as well as changes in cholinergic innervation.
Initial histopathological investigations suggest an inflammatory genesis of this rarefaction of ganglion cell nests, which will be further characterised/investigated in the context of this study on the basis of further histopathological and serological investigations. This may lead to novel therapeutic approaches that can causally treat the symptoms of those affected.
Conditions
- Defecation Disorder
- Neuropathology
- Autoimmune Diseases
Interventions
- DIAGNOSTIC_TEST
-
blood sample
we want to identify a diagnostic option to identify patients, who have a neuropathological distraction of their ganglia cells in the bowel
Sponsors & Collaborators
-
University of Cologne
collaborator OTHER -
Evangelisches Klinikum Köln Weyertal gGmbH
lead OTHER
Principal Investigators
-
Claudia Rudroff, MD · Claudia Rudroff, MD PhD
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-03-20
- Primary Completion
- 2030-12-31
- Completion
- 2033-12-31
Countries
- Germany
Study Locations
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