Polyamine-low Diet to Prevent Postoperative Pain After Cholecystectomy
Study Details
Study Description
Brief Summary
It has been shown that N-methyl-D-aspartate (NMDA) receptor antagonists (such as ketamine) potentiate analgesic drug's efficacy. Polyamines are allosteric modulators of NMDA receptors. In animal studies, polyamine-free diet has shown antinociceptive properties. This research aims at evaluating analgesic properties of polyamine-low diet after laparoscopic cholecystectomy performed in an ambulatory setting.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Polyamine low-diet Polyamines depleted diet during the week before surgery : 2 cans per day of Polydol (oral alimentation without polyamines), associated to predefined menus low in polyamines |
Dietary Supplement: Polyamine low-diet
Other Names:
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Active Comparator: Liberal alimentation No specific alimentary diet |
Dietary Supplement: Liberal alimentation
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Pain intensity for the 7 days [7 days]
Pain intensity is evaluated by the number of tablets of Tramadol taken by the patients
Secondary Outcome Measures
- Pain scores measured on the day of surgery, [12 hours]
Pain score (numerical scale from 0 to 10) measured in mid-afternoon, resting lying down, coughing and mobilization (from lying to sitting position)
- frequency of impeded hospital discharge the day of surgery [24 hours]
Failure of outpatient care (i.e. the patient cannot leave the hospital the day of surgery)
- Each day pain [7 days]
Pain scores (numerical scale from 0 to 10) assessed daily from J1 ( after surgery) to J7 in mid afternoon , lying at rest position , coughing and mobilization (from lying to sitting position) .
- Quality of life [7 days]
QLQC30 Questionnaire (version 3)
- Residual pain [30 days]
Pain score (numerical scale from 0 to 10)
- Blood levels of polyamine [2 years]
Blood samples are performed the day of surgery and at J7. The dosages will be performed when all patients will be recruited
Eligibility Criteria
Criteria
Inclusion Criteria:
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laparoscopic cholecystectomy
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ambulatory surgery
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agreeing to follow a polyamine-low diet with Polydol plus
Exclusion Criteria:
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Pregnancy
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Contra-indication to a non-steroidal anti-inflammatory, to tramadol
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Intolerance to cow proteins
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Diabetic patients
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Poor understanding of the French language.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hôpital de la Croix Saint-Simon | Paris | Hauts de Seine | France | 75020 |
Sponsors and Collaborators
- Hopital Foch
Investigators
- Study Chair: Marc Fischler, MD, Hopital Foch
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2011/68
- 2011-A01675-36