Liver Cirrhoses Clinical Trial
Official title:
Alterations in Intestinal Mucosal Barrier Visualized by Confocal Laser Endomicroscopy in Liver Cirrhosis: a Pilot Trial
Clinical trial with medical devices. A diagnostic trial conducted to find a better (less
invasive) procedure for predicting the onset of spontaneous bacterial peritonitis(SBP), which
is a complication of liver cirrhosis with ascites.The current recommendation for primary
prophylaxis of SBP include a low protein content of the ascitic fluid or a gastrointestinal
bleeding. This trial will use the CLE (confocal laser endomicroscopy) technic in order to
quantify the intestinal permeability in patients with liver cirrhosis and correlate this to
the onset of spontaneous bacterial peritonitis.We aim to evaluate a new diagnostic tool (the
confocal laser endoscopy(CLE) technique -cellvizio- in the setting of endoscopy and defining
parameters that are altered in cirrhotic patients of different severity and being at risk of
developing a SBP (spontaneous bacterial peritonitis).The parameters assessed by confocal
laser endomicroscopy will be correlated with the protein content in ascitic fluid and the
patient will be monitored for time to occurrence of spontaneous bacterial peritonitis.
Defining a correlation between the quantified loss of intestinal integrity and i) total
protein concentration in the ascitic fluid and ii) stadium of liver disease (Child class A, B
or C)
n/a
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