[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100638528":3},{"organization":4,"armGroups":7,"interventions":17,"overallOfficials":10,"centralContacts":22,"locations":28,"responsibleParty":47,"collaborators":10,"id":49,"slug":50,"hasResults":51,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":10,"eligibilityCriteria":55,"healthyVolunteers":51,"sex":56,"minAge":57,"maxAge":10,"enrollmentInfo":58,"targetDuration":10,"studyType":61,"phases":10,"briefSummary":62,"conditions":63,"keywords":65,"overallStatus":31,"whyStopped":10,"lastUpdateSubmitDate":68,"lastUpdatePostDateStruct":69,"startDateStruct":72,"completionDateStruct":74,"leadSponsor":76,"locationsCount":77},{"fullName":5,"class":6},"The Cleveland Clinic","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Prospective cohort",null,"The prospective cohort will consist of 34 adult patients undergoing elective ileostomy closure at Cleveland Clinic Florida. Participants will complete 10 bowel stimulations within 3 weeks prior to ileostomy closure.",[13],"Other: At-home bowel stimulation",{"label":15,"type":10,"description":16,"interventionNames":10},"Retrospective cohort","This cohort will consist of patients who previously underwent ileostomy closure at Cleveland Clinic Florida without the at-home bowel stimulation intervention.",[18],{"type":6,"name":19,"description":20,"armGroupLabels":21,"otherNames":10},"At-home bowel stimulation","All participants will undergo a standardized preoperative bowel stimulation protocol prior to ileostomy closure. The intervention includes a total of 10 stimulation sessions performed over approximately three weeks. An initial in-person visit (≤30 minutes) with a trained research nurse will include placement of a catheter into the efferent limb of the ileostomy and performance of the first supervised stimulation as instruction. Each stimulation consists of instilling 500 mL of a thickened saline solution through the catheter using a syringe. Participants will then complete nine additional stimulations at home during the two weeks prior to surgery on weekdays only. Nursing phone support will be available during business hours, and weekday check-in calls will confirm completion. Participants will receive written instructions and a log to record session details, including symptoms and bowel movements. In-office stimulation will be available if needed.",[9],[23],{"name":24,"role":25,"phone":26,"phoneExt":10,"email":27},"Marylise Boutros, MD","CONTACT","954-659-5278","BOUTROM3@ccf.org",[29],{"facility":30,"status":31,"city":32,"state":33,"zip":34,"country":35,"countryCode":36,"cosmosGeoPoint":37,"geoPoint":42,"contacts":43},"Cleveland Clinic Florida","RECRUITING","Weston","Florida","33331","United States","US",{"type":38,"coordinates":39},"Point",[40,41],-80.39977,26.10037,{"lat":41,"lon":40},[44,45],{"name":24,"role":25,"phone":26,"phoneExt":10,"email":27},{"name":24,"role":46,"phone":10,"phoneExt":10,"email":10},"PRINCIPAL_INVESTIGATOR",{"type":48,"investigatorFullName":10,"investigatorTitle":10,"investigatorAffiliation":10,"oldNameTitle":10,"oldOrganization":10},"SPONSOR","100638528","at-home-bowel-stimulation-100638528",false,"NCT07574437","At-Home Bowel Stimulation","At-Home Bowel Stimulation: A Prospective Cohort Study","Inclusion Criteria:\n\n\\- Adult patients who have undergone a partial colectomy or proctectomy for benign or malignant disease with a protective loop ileostomy\n\nExclusion Criteria:\n\n* Underlying inflammatory bowel disease (IBD)\n* Known peritoneal metastases at the time of ileostomy closure\n* Inability to provide clear and informed consent\n* History of subtotal colectomy or total proctocolectomy\n* Planned laparotomy for ileostomy closure\n* Inability to speak English or Spanish","ALL","18 Years",{"count":59,"type":60},34,"ESTIMATED","OBSERVATIONAL","Postoperative ileus (POI) is a common complication after ileostomy closure and is associated with patient discomfort, delayed return of bowel function, prolonged hospital stay, and increased healthcare costs. One proposed contributor to POI is prolonged inactivity of the bowel segment distal to the ileostomy prior to restoration of intestinal continuity.\n\nPrevious studies, including a multicenter randomized controlled trial, have shown that preoperative bowel stimulation of the defunctionalized intestine can reduce rates of POI and shorten length of hospital stay. However, these interventions were performed in outpatient or hospital settings and required specialized nursing support.\n\nThis single-center, prospective interventional study aims to evaluate the feasibility and clinical impact of a patient-performed, at-home bowel stimulation program prior to ileostomy closure. Participants will perform daily bowel stimulation sessions at home for 3 weeks before surgery, following an initial supervised session. The primary objective is to assess feasibility, defined as successful completion of at least 6 of 9 at-home stimulation sessions by more than 75% of participants. Secondary outcomes include return to normal bowel function and length of hospital stay. Exploratory outcomes include postoperative bowel function, quality of life, and patient satisfaction.\n\nStudy outcomes will be compared with a retrospective cohort of patients who previously underwent ileostomy closure without at-home bowel stimulation. The long-term goal of this research is to support incorporation of preoperative bowel stimulation into Enhanced Recovery After Surgery (ERAS®) pathways for patients undergoing ileostomy closure.",[64],"Post-Operative Ileus (POI)",[66,67],"Post-operative ileus","Bowel stimulation","2026-05-18",{"date":70,"type":71},"2026-05-20","ACTUAL",{"date":73,"type":71},"2025-10-28",{"date":75,"type":60},"2026-07-07",{"name":5,"class":6},1]