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January 1, 2002Shock

Preoperative Oral Application of Immunoglobulin-Enriched Colostrum Milk and Mediator Response During Abdominal Surgery

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Why the study?

Does preoperative oral application of lactobin reduce endotoxin translocation and mediator release in patients undergoing abdominal surgery?

Population

40 patients treated by partial (n = 4) or total gastrectomy (n = 8) or pancreatic resection (n = 28)

Comparison

Oral application of a bovine milk preparation… vs Placebo for 3 days pre-operatively

Design

RCT, randomly treated, placebo-controlled

Follow-up

daily evaluation post-operatively

Authors

ELEdwin B lkePJPeter JehleUniversity of PotsdamFHF. HausmannHumboldt-Universität zu Berlin

Discussion

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Overview

Supports preoperative lactobin to stabilize gut barrier in abdominal surgery; extends probiotic evidence in perioperative care.

Structured PICO

Does preoperative oral application of lactobin reduce endotoxin translocation and mediator release in patients undergoing abdominal surgery?

P
Population
40 patients treated by partial (n = 4) or total gastrectomy (n = 8) or pancreatic resection (n = 28)
I
Intervention
Oral application of a bovine milk preparation (lactobin 56g/day) for 3 days pre-operatively
C
Comparator
Placebo for 3 days pre-operatively
O
Outcome
Endotoxin translocation and mediator release (endotoxin, endotoxin-neutralizing capacity (ENC), interleukin 6, C-reactive protein, transferrin, alpha-2-macroglobulin, albumin, apoliprotein-A1/-B, IgG, IgA, and IgM)surrogate

Prophylactic oral application of lactobin reduces perioperative endotoxemia and prevents reduction of ENC, suggesting a stabilization of gut barrier during abdominal surgery.

Cite This Study

lke et al. (2002) studied this question.

synapsesocial.com/papers/6a865d57d1e7d8beda5aeb4ehttps://doi.org/10.1097/00024382-200201000-00002
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Endotoxemia and Mediator Release During Cardiac Surgery2000 · 42 citations
  2. 2Can selective digestive decontamination avoid the endotoxemia and cytokine activation promoted by cardiopulmonary bypass?1993 · 124 citations
  3. 3Incidence and pathophysiological relevance of postoperative endotoxemia1995 · 19 citations