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RecruitingNCT05752071STIMULATEUpdated Jan 31, 2025

Gastrointestinal Stimulation As a Treatment of Postoperative Ileus Following Extensive Surgery

An interventional study of Gastric electrical stimulation in Postoperative Ileus and Bowel Paralysis, sponsored by University of Aarhus. Recruiting at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-31.

Sponsored by University of Aarhus · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Apr 2023; still recruiting 3 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to investigate the effect of gastrointestinal stimulation with a pacemaker on the length of postoperative bowel paralysis in patients undergoing major abdominal surgery due to metastasizing colorectal cancer, appendiceal cancer or pseudomyxoma peritonei.

The main question it aims to answer is if the length of postoperative ileus is reduced when the gastrointestinal tract is stimulated with a pacemaker.

All participants will undergo cytoreductive surgery +/- heated intraperitoneal chemotherapy (the standard treatment for colorectal cancer, appendiceal cancer with peritoneal carcinomatosis or pseudomyxoma peritonei). After surgery, but before the abdomen is closed a pace lead will be attached to the stomach, exteriorized trough the abdominal wall and connected to an external pacemaker. The pacemaker is either turned on (experimental group) or off (control group).

After surgery, patients will be asked to fill out a diary on bowel movements once a day. Once normal bowel function is regained, the pace lead and pacemaker will be removed trough the abdominal wall with a firm pull.

02

Conditions studied

  • Postoperative Ileus
  • Bowel Paralysis

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Keywords

  • Stimulation
  • Postoperative ileus
03

In context

Ileus

126 studies on the registry are indexed under Ileus; 13 are open to participants now.

This study's planned enrollment of 100 is close to the median of 100 across 108 interventional studies indexed under Ileus.

Browse Ileus studies →

Lead sponsor

University of Aarhus is the lead sponsor of 1,299 studies on the registry; 189 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients planned for elective cytoreductive surgery with or without heated intraperitoneal chemotherapy due to either colorectal or appendiceal cancer or with peritoneal metastases or due to pseudomyxoma peritonei
  • Written and orally informed consent
  • Over 18 years of age

Exclusion criteria

Exclusion Criteria:

  • Previous upper gastric or esophageal resection
  • History of difficulties in swallowing or gastrointestinal stenosis
  • Implanted or portable electrical medical device e.g. cardiac pacemaker, defibrillator or infusion pump etc.
  • Pregnant or breast-feeding women
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Single group
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Treatment group

    A pace lead is mounted on the stomach, and exteriorized trough the skin and connected to an external pacemaker. The pacemaker is set to the following settings: 10,5 Volt, 14 hz, 330 Micro sec, Cycling 5 seconds off 0,1 sec on. The pacemaker is turned on.

    Device: Gastric electrical stimulation

  • Sham comparator
    Control group

    A pace lead is mounted on the stomach, and exteriorized trough the skin and connected to an external pacemaker. The pacemaker is turned off.

    Device: Gastric electrical stimulation

Interventions

  • DeviceGastric electrical stimulation

    Mounting of a temporary gastric pacemaker

06

What researchers measure

Primary outcomes

  1. Time from surgery till first stool

    Daily patient diary information regarding stool and flatus

    Time frame: Approx. 7 days

Secondary outcomes

  1. Whole gut and regional transit times

    Measured with the SmartPill

    Time frame: Day of surgery til passage of SmartPill (or loss of battery ) approx. +5 days

  2. Length of hospital stay

    Number of days from primary surgery to hospital discharge

    Time frame: approx 14 days

  3. Medical complications

    Any cerebral, cardiac, pulmonary, infectious, urogenital and thromboembolic complications

    Time frame: approx 14 days

  4. Surgical complications including anastomotic leakage

    Surgical complications include bleeding, fascia dehiscence, mechanical ileus, surgical site infection, intraabdominal infection, anastomotic leakage

    Time frame: approx 14 days

  5. Need for surgical or radiological interventions

    The number of times and the surgical or radiological procedure performed

    Time frame: approx 14 days

  6. Re-hospitalization within 30 days

    The number of re-hospitalizations and the cause of re-hospitalizations within 30 days og primary surgery

    Time frame: From day of surgery + 30 days

  7. Time till initiation of postoperative systemic adjuvant chemotherapy, if indicated

    In patients where indicated, the number of days fra surgery till initiation og systemic adjuvant chemotherapy

    Time frame: From day of surgery +90 days

  8. 90-day mortality

    Mortality within 90 days of primary surgery

    Time frame: From day of surgery +90 days

07

Study locations

1 of 1 sites recruiting
  • Aarhus University Hospital
    Aarhus, 8200, Denmark
    • Anne Martensen, MD · Contact
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05752071
Collaborators
Danish Cancer Society
Responsible party
Sponsor
First posted
Mar 2, 2023
Start date
Apr 1, 2023
Primary completion
Jun 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Jan 31, 2025

Study contacts

Anne K Martensen, MD
Contact
anmate@rm.dk
+45 30595095
Jonas Funder, MD, PhD
principal investigator · Aarhus University Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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