Could gut bacteria predict lung trouble after surgery?
NCT ID NCT06513416
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers are studying whether the mix of bacteria in an older person's gut before major abdominal surgery relates to breathing problems afterward, such as low oxygen, collapsed lung, or pneumonia. The study follows 265 patients aged 65 and older who are scheduled for elective abdominal surgery lasting at least two hours under general anesthesia. Stool and blood samples are collected before surgery, and outcomes are tracked afterward. A closer genetic analysis compares patients who develop lung complications with those who do not.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If a link holds up, doctors could one day check a patient's gut bacteria before surgery and take steps to lower the risk of lung problems afterward.
- What could go wrong
- This is an observational study, so it can show a pattern but not prove that gut bacteria cause lung complications. Findings from one hospital group may not apply to other patients.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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265 people
The number who actually took part.
- Started
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May 2023
- Finished
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Feb 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Elderly patients over 65 years old who plan to undergo elective major abdominal surgery
- Ages
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age: ≥ 65 years old; 2. Surgery: Major abdominal surgery (expected duration ≥ 2 hours); 3. Anesthesia methods: general anesthesia, tracheal intubation; 4. ASA classification: I-IV levels; 5. Postoperative Pulmonary Complications Risk Score (ARISCAT): Medium to High Risk 6. Patients or their families are able to understand the research protocol and are willing to participate in this study, providing written informed consent Exclusion Criteria: 1. Emergency surgery; 2. This is the second surgery within the past month; 3. Preoperative presence of pulmonary infection or other serious pulmonary complications 4. Patients who have used antibiotics, probiotics, and acid suppressants within one month before surgery
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Department of Anesthesiology, Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730, China
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