Bowel Sounds and Day-to-Day Recovery After Colorectal Cancer Surgery
Official title: The Value of Bowel Sounds in Evaluating Postoperative Intestinal Function Recovery in Colorectal Cancer Patients: A Prospective Cohort Study
Run by Zhongnan Hospital · NCT07705139 · Data updated 2026-11-12
This study will test whether monitoring bowel sounds before and after colorectal cancer surgery can predict how quickly patients recover bowel function and resume eating.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 90 Years |
| Sex | All |
| Enrollment | 172 (estimated) |
| Sponsor | Zhongnan Hospital Academic / other |
| Drugs / interventions | chemotherapy, immunotherapy |
| Locations | 1 site (Wuhan, Hubei) |
| Status | Recruiting |
| Started | February 1, 2026 |
| Main results expected | May 15, 2026 |
| Study ends | July 28, 2026 |
| Registry record updated | July 15, 2026 |
| Trial ID | NCT07705139 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18-80 years with histologically confirmed colorectal adenocarcinoma undergoing curative surgery.
✕Probably not a fit
Patients who recover normally regardless of bowel sound patterns or those with severe unrelated comorbidities may not see a benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study enrolls adults undergoing curative colorectal cancer surgery. Bowel sounds are recorded preoperatively and postoperatively, and their relationship with recovery metrics such as time to first flatus, first oral intake, and incidence of ileus or other complications is analyzed. The goal is to see if perioperative bowel sound patterns help predict postoperative recovery and guide clinical management within ERAS pathways. Data will be collected on intraoperative variables, perioperative complications, and reoperation rates to understand how bowel motility relates to outcomes. The study is conducted at Zhongnan Hospital of Wuhan University with collaboration from Wuhan University.
Why it matters
Potential benefit: If successful, monitoring bowel sounds could help clinicians anticipate recovery milestones and tailor postoperative care to improve speed and safety of recovery.
How similar studies have gone: Previous work suggests bowel motility is linked to postoperative recovery, but this exact monitoring approach in colorectal cancer surgery is being explored.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged 18-80 years. * Histopathologically confirmed colorectal adenocarcinoma according to the WHO 2022 classification. * No restriction on prior neoadjuvant or other antitumor therapies, including chemotherapy, radiotherapy, targeted therapy, or immunotherapy. * Able to understand the study requirements and voluntarily provide written informed consent (patient and/or legally authorized representative). * Able to communicate effectively with the investigators and willing to comply with all study procedures, including postoperative management and follow-up. Exclusion Criteria: * Significant organ dysfunction indicating inability to tolerate surgery or an unacceptably high perioperative risk, including: * Severe cardiac dysfunction (NYHA Class III or IV). * Severe hepatic dysfunction (MELD score \>12). * Severe renal dysfunction (eGFR \<30 mL/min/1.73 m² \[CKD stage 4-5\] or end-stage renal disease requiring dialysis). * Severe pulmonary dysfunction (resting PaO₂ \<60 mmHg on room air or respiratory failure requiring long-term oxygen therapy or mechanical ventilation). * Participation in another clinical study within 4 weeks before enrollment or concurrent participation in another interventional clinical study. * Emergency surgery required because of intestinal obstruction, perforation, or other acute abdominal conditions. * Severe psychiatric disorders that would interfere with compliance with perioperative management or follow-up. * Pregnant or breastfeeding women. * Any other clinical or laboratory abnormality that, in the opinion of the investigator, would make the participant unsuitable for the study.
Where it's running
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Zhongnan Hospital of Wuhan University
Wuhan, Hubei, China Recruiting
Study contacts
- Study coordinator: siyuan yin, master
- Email: 2023283030136@whu.edu.cn
- Phone: +86 18771708286
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.