Acute Pancreatitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All conscious patients between age of 18-85 admitted to the Leicester General hospital with severe acute pancreatitis proven by: a) compatible clinical features (abdominal pain with or without vomiting); b) associated with elevated serum amylase levels (>or=to 3 times the normal values) i,e >900 iu/l); and c) one of the severity criteria as outlined in the Atlanata severity criteria. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: The following will be excluded from the study: • Patients unconscious or unable to consent for themselves. • Patients below the age of 18 or above 85 years old. • Hypersensitivity to fish, egg or soy protein or other active substances of the TPN. • Uncontrolled hyperlipidaemia • Severe primary blood coagulation disorder • Acute pancreatitis accompanied with hyperlipidaemia • Ketoacidosis • Acute thromboembolic disease • Severe liver failure • Acute phase of myocardial infarction or stroke • Pregnancy and lactation • Severe renal failure without access to haemofiltration or dialysis (all patients with renal failure in Leicester General Hospital will have access to haemofiltration or dialysis if clinically indicated and needed)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the effect of parenteral Omega 3 fish oil emulsion on the C-reactive protein (a sensitive marker in inflammation).;Secondary Objective: 1) Compare the severity scoring system for pancreatitis (Modified Early Warning score, APACHE II score, Glasgow prognostic score (Imrie), Ranson score, Systemic Inflammatory Response Syndrome (SIRS) and Sequential Organ Failure Assessment (SOFA) Score) and the speed of recovery for patients with severe inflammation of the pancreas given lipid infusion containing Omega 3 and a control group with same condition given lipid infusion without Omega 3. 2) Development of Local and/or Systemic complications according to Atlanta severity criteria for acute pancreatitis in study and control groups. 3) Progress in the inflammatory and anti-inflammatory mediators in study and control groups. 4) Progress of patients care, assess the duration of hospital stay and development of complications.;Primary end point(s): To monitor the progress in the C-reactive protein (sensitive marker in inflammation). | — |
Countries
United Kingdom