Observational prospective study evaluating the developement of chronic pancreatitis based on imaging modalities as well as biochemical markers of inflammation, fibrosis and oxidative stress.
Chronic pancreatitis (CP) represents the end-stage of a continuous disease process evolving from acute pancreatitis (AP), over recurrent acute pancreatitis (RAP). Due to the irreversible nature of CP, early detection and prevention is key. The study uses state-of-the-art imaging modalities as well as biochemical markers of to evaluate fibrosis progression in patients with pancreatitis. The included participants have either first time AP, RAP, early CP with preserved pancreatic exocrine and endocrine function or end-stage CP with exocrine insufficiency. Included patients will be followed prospectively for 15 years with advanced MRI and contrast enhanced EUS with elastography, assessment of endocrine and exocrine pancreatic function, biochemical and nutritional assessment, and evaluation of pain processing using quantitative sensory testing. Blood for a biobank will be obtained. The purpose of the biobank is to allow analyses of potential biomarkers for the progression of disease eventually leading to CP.
Study Type
OBSERVATIONAL
Enrollment
150
MRI assessments including magnetic resonance cholangiopancreatography (MRCP) and diffusion weighted imaging (DWI) combined with gold standard EUS
Gastrounit, Copenhagen University Hospital Hvidovre
Hvidovre, Capital Region Denmark, Denmark
RECRUITINGDepartment of Gastroenterology & Hepatology, Aalborg University Hospital
Aalborg, Denmark
RECRUITINGAbdominal Centre, Bispebjerg University Hospital
Copenhagen, Denmark
RECRUITINGFibrosis progression on endoscopic ultrasound (EUS) or magnetic resonance imaging (MRI)
Progression of fibrosis in the pancreas based on either EUS or MRI
Time frame: 15 years
Lean body mass assessed using bioimpedance
Body composition focusing on lean body mass will be assessed using bioimpedance
Time frame: 15 years
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