Hepatic Encephalopathy
Conditions
Keywords
Minimal Hepatic Encephalopathy, Pre-hepatic Portal Hypertension, portal vein thrombosis
Brief summary
The aim of the study is: * Epidemiological/observational: investigating the presence of neuropsychological and electrophysiological alterations, suggesting a condition of minimal hepatic encephalopathy(and its behavioral correlates), in childhood and young adulthood affected by pre-hepatic portal hypertension due to portal vein thrombosis, even for implementing specific diagnostic protocols. * Interventional: collecting preliminary data on the effects of a probiotic, in order to implement a controlled clinical study.
Detailed description
Epidemiological/observational study investigating the presence of neuropsychological and electrophysiological alterations, suggesting a condition of minimal hepatic encephalopathy(and its behavioral correlates), in childhood and young adulthood affected by pre-hepatic portal hypertension due to portal vein thrombosis, even for implementing specific diagnostic protocols
Interventions
VSL#3 is a probiotic that reduces: * urease faecal activity * faecal pH * inflammatory cytokine
Sponsors
Study design
Eligibility
Inclusion criteria
* extra-hepatic portal vein thrombosis * 4-20 years * knowledge of italian language * absence of perceptive or communicative deficit * absence of psychiatric disease or mental retardation
Exclusion criteria
* medical contraindications for required evaluations * infective pathologies * parenchymal hepatic pathologies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| neuropsychological and electrophysiological aspects | after 15 weeks of probiotic or placebo treatment | Improvement in the spectrum of the digitalised electroencephalogram, improvement in the performance of the psychometric tests |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| urine and faeces analysis | after 15 weeks of probiotic or placebo treatment | — |
| abdomen scan with color doppler technique | after 15 weeks of probiotic or placebo treatment | — |
| biochemical blood test | after 15 weeks of probiotic or placebo treatment | Decreased level of serum ammonia |
| dietary anamnesis (last three days) | after 15 weeks of probiotic or placebo treatment | — |
| bowel frequency and characteristics | after 15 weeks of probiotic or placebo treatment | — |
| neurological evaluation | after 15 weeks of probiotic or placebo treatment | — |
Countries
Italy