Liver Disease, Short Bowel Syndrome
Conditions
Keywords
oral fish oil, Lovaza, Omega-3-acid supplementation
Brief summary
The purpose of this study is to investigate the usefulness of oral fish oil(Lovaza)in normalizing liver function in patients who have parenteral nutrition associated liver disease. The investigators believe that patients who take oral fish oil will normalize liver function faster than those who do not
Detailed description
This is designed as a randomized placebo controlled trial of oral fish oil (Lovaza) in normalizing parenteral nutrition associated liver disease.
Interventions
1 gram per kilogram body weight per day, not exceeding 4 grams
supplied as 1gram transparent soft-gelatin capsules filled with yellow oil, dosage is 1gram per kilogram of body weight per day, not exceeding 4grams per day until normalization of liver function test
Sponsors
Study design
Eligibility
Inclusion criteria
* History of parenteral nutrition(PN)administration \>4weeks * PN associated liver disease from intestinal failure * ability to take full enteral feed * body weight equal or greater than 3kg * elevated ALT level twice of that normal(ALT\>84)at the time PN is weaned off
Exclusion criteria
* Hemodynamic instability * renal failure * suspected congenital obstruction of the hepatobiliary system * diagnosis hepatitis A, B, or C * diagnosis of alpha 1-antitrypsin deficiency * diagnosis of cytomegalovirus infection * diagnosis of HIV * children in care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Normalization of ALT | — | The primary aim is to examine the efficacy of Lovaza, when compared to placebo, on normalizing liver function, as measured primarily by amino alanine transferase (ALT). The investigators believe that patients in the Lovaza group will normalize ALT faster than in the placebo group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Normalization other liver function tests and inflammatory status | — | The investigators believe that Lovaza will result in faster reduction of the serum levels of the following markers: total bilirubin, aspartate amino transferase (AST), alkaline phosphatase, gamma glutamyl transpeptidase (GGTP) & C-reactive protein (CRP). |
Countries
United States