RecruitingNot ApplicableNCT07519915

Improvement of Understanding of Pediatric Sacral Neuromodulation: Therapeutic Strategies and Outcome Variables

Stimulation Modeling and Adaptive Response Tracking in Pediatric Gastrointestinal Motility Disorders


Sponsor

Friedrich-Alexander-Universität Erlangen-Nürnberg

Enrollment

25 participants

Start Date

Jul 1, 2018

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this study is to learn about the effects of sacral neuromodulation in pediatric patients with gastrointestinal motility disorders. By combining advanced neuroimaging, patient-specific biophysical modeling, electrophysiological characterization, and clinical translation, the SMART-GUT project establishes a comprehensive framework to systematically investigate neuromodulation in this pediatric population. This integrative approach enables a direct link between mechanism, targeting, and clinical outcome.


Eligibility

Min Age: 3 YearsMax Age: 18 Years

Inclusion Criteria4

  • informed consent of patient and care taker
  • gastrointestinal motility disorder, disregarding underlying diseases
  • exclusion of mechanical obstructions in the gastrointestinal passage
  • age between 3 and 18

Exclusion Criteria9

  • pregnancy/breast feeding
  • decreased renal or thyroidal function
  • drug intake of Beta-blockers, antispasmodics, cyclopropane, bisulfite compounds, haloperidol, heroin, meperidine, metamizole, methadone, morphine, nitrofurantoin, opium alkaloids, phenobarbital, phenylbutazone, probenecid, rifamycin
  • contradictions for MRI
  • indication for analgosedation for MRI
  • inflammatory bowel diseases
  • fractures/different anatomy in sacral region
  • epilepsy
  • presence of cardiac pacemakers

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Interventions

PROCEDURESNM/MRI/EMG

Participants are receiving clinical baseline evaluation, preoperative sacral and functional MRI, reconstruction of digital twin, surgical implantation of sacral neuromodulation including intraoperative testing, postoperative sacral and functional MRI, and clinical follow-up


Locations(1)

Pediatric Surgery in the Children's Hospital

Erlangen, Germany

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NCT07519915


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