Screening for Pancreatic Exocrine Insufficieny in Metabolic Associated Fatty Liver Disease Patients
NCT ID: NCT05804409
Last Updated: 2023-04-07
Study Results
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Basic Information
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UNKNOWN
70 participants
OBSERVATIONAL
2023-06-30
2024-07-31
Brief Summary
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Detailed Description
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With obesity; ectopic fat deposition in certain organs is accompanied by insulin resistance, hypertension and dyslipidemia; which in turn leads to metabolic syndrome As such, metabolic associated fatty liver disease (MAFLD), the hepatic manifestation of metabolic syndrome, has already become the most common cause of liver disease worldwide with a prevalence 25% Another important organ where ectopic fat deposition takes place is pancreas. Although hepatic fat is mainly intracellular and fatty pancreas is a consequence of adipocyte infiltration, evidence exists that fatty pancreas could be used as the initial indicator of ectopic fat deposition Recently, an advanced MRI technique - MRI-estimated proton density fat fraction (MRI-PDFF) - was shown to give reliable quantitative information of hepatic fat that is well correlated with liver biopsy The pancreas is composed of two glands - endocrine pancreas and exocrine pancreas- that are intimately mixed together into one organ Although exocrine pancreas comprise more than 95% of the pancreatic mass, to date there is no study conducted about the exocrine pancreas function and pancreatic fat in MAFLD patients The fecal pancreatic elastase (PE) test is a valuable indirect assay used in the evaluation of pancreatic exocrine function PE testing has become a standard diagnostic tool exhibiting good correlation with the results of direct functional tests as well as morphological changes in the pancreas discovered via imaging techniques In the last decade, significant number of studies were conducted on pancreatic exocrine insufficiency (PEI)
Conditions
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Study Design
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CASE_ONLY
OTHER
Interventions
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FECAL ELASTASE
screening for pancreatic exocrine insufficiency in MAFLD patients
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Patients with any history of pancreatic diseases like acute pancreatitis, chronic pancreatitis and pancreatic surgery.
* Patients with any malignancy.
18 Years
80 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Ghada Ahmed Mahmoud Hammam
Ghada Ahmed Mahmoud Hammam
Central Contacts
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References
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Boga S, Koksal AR, Sen I, Kurul Yeniay M, Yilmaz Ozguven MB, Serin E, Erturk SM, Alkim H, Alkim C. Liver and pancreas: 'Castor and Pollux' regarding the relationship between hepatic steatosis and pancreas exocrine insufficiency. Pancreatology. 2020 Jul;20(5):880-886. doi: 10.1016/j.pan.2020.04.020. Epub 2020 May 19.
Related Links
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screening for PEI in MAFLD patients
Other Identifiers
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PEI in MAFLD
Identifier Type: -
Identifier Source: org_study_id
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