The Relationship Between Postoperative Changes of Oral and Intestinal Flora and Prognosis

Study Overview
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Brief Summary
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Specific oral microbiome has been found to contribute to the development of colorectal cancer. We speculate that specific oral microbiota related to colorectal cancer relapse after curative treatment. This study aim to discover if any difference of oral microbiota exist in patients who suffer from cancer relapse compared with patients who do not. Finally develop patient-centred programmes of surveillance protocols base on microbiota analysis.

Detailed Description
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Colorectal cancer is a major cause of cancerrelated deaths and the third most commonly diagnosed cancer worldwide.Current estimates indicate that 20-30% of those who undergo treatment will experience recurrence and 35% of all patients will die within 5 years. The human colon plays host to a diverse and metabolically complex community of microorganisms. While the specific oral microbiome has been found to contribute to the development of colorectal cancer. Investigators speculate that specific oral microbiota related to colorectal cancer relapse after curative treatment. Patients are routinely offered surveillance in order to detect disease recurrence at an early, asymptomatic stage, with the intention of improving survival. Nevertheless, controversy continues to surround the optimal surveillance protocols. Investigators aim to discover if any difference of oral microbiota is exist in patients who suffer from relapse compared with patients who do not. Future surveillance after colorectal cancer treatment should focus on risk-stratification. Finally investigators will develop patient-centred programmes of surveillance protocols base on microbiota analysis.

Official Title
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Postoperative Oral and Intestinal Flora Changes in Patients With Colorectal Cancer and the Relationship Between These Changes and Prognosis

Conditions
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Gut Microbiota, Oral Microbiota, Colorectal Cancer

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Requirements of informed consent and assent of participant, parent or legal guardian as applicable Patients who underwent exhaustive colorectal cancer surgical resection and accept colonoscopy Patients between the age of 35 and 75 years old without considering sex Patients with BMI= 18.5-23.9 Participants can follow the visit plan Exclusion Criteria: Patients with colorectal cancer with distant metastasis Chronic renal diseases and hepatic cirrhosis Chronic ischemic heart disease with unstable angina, chronic heart failure at class III or IV and acute myocardial infarction in the last 6 months Individuals with a history of Chronic diarrhea Individuals with a history of Diabetes mellitus Individuals with a history of Hypertension Individuals with a history of autoimmune diseases Use of antibiotics and probiotics 3 mouth before samples collection Individuals with a history of abdominal operation due to any reason Individuals with any history of cancer other than colorectal cancer Individuals with Inflammatory bowel disease

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Relapse<br>Patients who suffered colorectal cancer or adenoma relapse after curative surgery | |
| Remission<br>Patients who get remission after curative surgery | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Colorectal cancer or adenoma recurred | Use colonoscopy to check for recurrence of colorectal cancer | 12 months after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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microbiota, colorectal cancer, recurrence