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Predicting Treatment Outcomes in Refractory Constipation Through Brain Connectivity Evaluation
Sponsor: Xijing Hospital of Digestive Diseases
Summary
The goal of this observational study is to identify the characteristics of brain functional connectivity in refractory constipation and fluoxetine-sensitive patients. The main questions it aims to answer are: * Investigating the alterations in brain functional connectivity in patients with refractory constipation and fluoxetine-sensitive patients * Assessing the predictive value of brain functional connectivity regarding the efficacy of fluoxetine and standard protocol treatments for constipation. Participants will receive: * Standard physiological and psychological assessments of constipation * BOLD-fMRI tests * Standard protocol and fluoxetine treatment If there is a comparison group: Researchers will compare: Refractory group/Fluoxetine sensitive group to see the specific brain alterations.
Official title: Evaluation of Brain Connectivity Function in Predicting Therapeutic Effects in Patients With Refractory Constipation: a Multicenter, Prospective, Cohort Study
Key Details
Gender
All
Age Range
18 Years - 45 Years
Study Type
OBSERVATIONAL
Enrollment
150
Start Date
2023-11-01
Completion Date
2026-09-01
Last Updated
2025-07-24
Healthy Volunteers
Yes
Conditions
Interventions
BOLD-fMRI
Blood-Oxygen-Level Dependent Functional Magnetic Resonance Imaging
Regular treatment of functional constipation
at least 3 months of continuous regular treatment. This treatment included the utilization of osmotic laxatives, stimulant laxatives, prosecretory agents, and a high-fibre diet.
fluoxetine
Fluoxetine oral treatment for 4 weeks.
Locations (3)
People's Hospital of Ningxia Hui Autonomous Region
Yinchuan, Ningxia, China
Xi'an International Medical Center Hospital
Xi'an, Shaanxi, China
Xijing Hospital, Fourth Military Medical University
Xi'an, Shaanxi, China