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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Peter Paine
peter.paine@nca.nhs.uk


Peter Paine
peter.paine@nca.nhs.uk


Study Location:

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Be Part of Research - Trial Details - Exploring small bowel feeding intolerance in dysmotility v1.0

Exploring small bowel feeding intolerance in dysmotility v1.0

Completed

Open to: All Genders

Age: 18 Years - 80 Years

Medical Conditions

Other diseases of intestines


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


The diagnosis of severe gastrointestinal dysmotility (a disorder of the muscles of the small bowel and other parts of the gut) is challenging. Some patients who cannot eat enough to maintain nutrition experience difficulties with tube feeding into their small bowel due to the symptoms this produces, especially pain. This can occur with very small amounts of feed, severely limiting feeding rates and can lead to problems with supporting nutrition. Patients with this problem then often receive feeding into their veins, which is higher risk than tube feeding and can be associated with poorer quality of life.
The inability to tolerate tube feeding at low rates is one of the features used to help make a diagnosis of severe gastrointestinal dysmotility but it is poorly understood why this occurs. It is difficult to explain why very small amounts of feed given very slowly causes severe pain. Sometimes psychological factors limiting tolerance may be just as important as physical ones.
A novel way of exploring intolerance of tube feeding in a clinical setting was previously described in a child. This was done by using two feed pumps instead of the usual one pump, (but still only one feeding tube). The two pumps were used to safely vary the rate and type of feed given. Both the patient and team were unaware of the rates delivered. The rates ranged from very slow up to the normal speed given in standard care.
At the end of the study the patient and the team were made aware of rates used which provided important clinical information, helping the patient’s holistic care.
This study would aim to see whether the approach is also feasible and acceptable in adults, to guide their clinical care, and to help the patient and clinicians better understand their symptoms.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

25 Jan 2024 01 Nov 2024

Observational and Interventional

Type: Dietary;Management of Care;



You can take part if:



You may not be able to take part if:


• under 18 years old • lacks mental health capacity to consent metabolically unstable (refeeding risk)


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.


The study is sponsored by NORTHERN CARE ALLIANCE NHS FOUNDATION TRUST and funded by Bowel Research UK .




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for Trial ID: CPMS 59808

Last updated 25 April 2025

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