Probiotics for Gallstones in Post-bariatric Surgery Patients:A Prospective Randomized Trial

NCT03247101 — Not applicable, Unknown, 180 participants, Min-Sheng General Hospital

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Probiotics for Gallstones in Post-bariatric Surgery Patients:A Prospective

RegistryNCT03247101
StatusUnknown
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: triple, prevention
Enrollment180 (Estimated)
SponsorMin-Sheng General Hospital (Other)
ConditionsClostridium Butyricum Miyairi, Gallstones, Gastrointestinal Quality of Life Index
InterventionsMiyarisan-BM (Clostridium Butyricum Miyairi), Urso group, Biotase group (Drug)
Datesstart 2016-02-01, primary completion 2017-12-01 (estimated), completion 2017-12-01 (estimated), first posted 2017-08-11, last updated 2017-08-11
Locations1 site in Taiwan

Related Papers Related Patents Related Grants Related Experts
All trials for Clostridium Butyricum Miyairi All trials for Gallstones All trials of Miyarisan-BM (Clostridium Butyricum Miyairi) All trials of Urso group

-Summary

Morbid obesity has become a major global health problem, and the use of bariatric surgery is increasing. One common complication seen following bariatric surgery is the formation of gallstones. Contributing factors to gallstone formation include hypomotility of gall bladder and supersaturation of bile due to rapid weight loss and mobilization of cholesterol. Previous studies revealed oral probiotics could reduce the cholesterol level by as much as 22% to 33%. The possible mechanisms included bile salt hydrolase activity, assimilation of cholesterol by the bacteria, binding of cholesterol to the bacterial cell wall and physiological actions of the end products of short chain fatty acid fermentation. Therefore, the aim of this study was to determine the ability of probiotics to prevent gallstones formation after bariatric surgery and to evaluate the impact of oral administration of probiotics on the post bariatric surgery patients 's quality of life.

Gastrointestinal Quality of Life Index is a widely accepted questionnaire for evaluating the quality of life for patients receiving bariatric surgery. It consists of five domains: digestive symptoms; physical function; emotional condition; social condition and effect of medical treatment, which could access the quality of life of bariatric patient effectively and completely.

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+Arms and interventions

ArmTypeInterventionsDescription
Probiotics groupExperimentalDrug: Miyarisan-BM (Clostridium Butyricum Miyairi)Miyarisan-BM (Clostridium Butyricum Miyairi) 40 mg po tid x 6 months
Urso groupActive comparatorDrug: Urso groupursodoxycholic acid, 200mg po tid x 6 months
Biotase groupActive comparatorDrug: Biotase groupBiotase 1# \[Biodiastase 30mg + lipase 65mg + newlase 10mg\]/tab po tid x 6 months
  • Miyarisan-BM (Clostridium Butyricum Miyairi) (Drug): 40mg po tid x 6months
  • Urso group (Drug): ursodoxycholic acid, 200mg po tid x 6 months
  • Biotase group (Drug): Biotase 1# \[Biodiastase 30mg + lipase 65mg + newlase 10mg\]/tab po tid x 6 months

+Outcome measures

Primary outcomes

  • Gallstones formation [6 months]

Secondary outcomes

  • serum total cholesterol and LDL level [6 months]

+Eligibility

Sex: All, ages: 20 Years to 65 Years

Inclusion Criteria:

1. Patients receiving bariatric surgery for morbid obesity
2. Patiets at ages between 20 to 65 y/o
3. Patients willing to follow up regulary after bariatric surgery.

Exclusion Criteria:

1. Patients having gallstones before bariatric surgery
2. Patients refusing taking probiotics or refusing regular follow up after bariatric surgery

+Locations (1)

FacilityCityCountryStatus
Min sheng general hospitalTaoyuan CityTaiwan

+Publications

  • Results publication: Shiffman ML, Sugerman HJ, Kellum JM, Brewer WH, Moore EW. Gallstone formation after rapid weight loss: a prospective study in patients undergoing gastric bypass surgery for treatment of morbid obesity. Am J Gastroenterol. 1991 Aug;86(8):1000-5. PMID 1858735
  • Results publication: Shiffman ML, Sugerman HJ, Kellum JH, Brewer WH, Moore EW. Gallstones in patients with morbid obesity. Relationship to body weight, weight loss and gallbladder bile cholesterol solubility. Int J Obes Relat Metab Disord. 1993 Mar;17(3):153-8. PMID 8385075
  • Results publication: Shiffman ML, Sugerman HJ, Kellum JM, Moore EW. Changes in gallbladder bile composition following gallstone formation and weight reduction. Gastroenterology. 1992 Jul;103(1):214-21. doi: 10.1016/0016-5085(92)91115-k. PMID 1612328
  • Results publication: Williams C, Gowan R, Perey BJ. A Double-Blind Placebo-controlled Trial of Ursodeoxycholic Acid in the Prevention of Gallstones during Weight Loss after Vertical Banded Gastroplasty. Obes Surg. 1993 Aug;3(3):257-259. doi: 10.1381/096089293765559278. PMID 10757929
  • Results publication: Worobetz LJ, Inglis FG, Shaffer EA. The effect of ursodeoxycholic acid therapy on gallstone formation in the morbidly obese during rapid weight loss. Am J Gastroenterol. 1993 Oct;88(10):1705-10. PMID 8213711
  • Results publication: Han ML, Lee MH, Lee WJ, Chen SC, Almalki OM, Chen JC, Wu CC. Probiotics for gallstone prevention in patients with bariatric surgery: A prospective randomized trial. Asian J Surg. 2022 Dec;45(12):2664-2669. doi: 10.1016/j.asjsur.2022.01.120. Epub 2022 Feb 26. PMID 35232647