Ischemia Re-perfusion Injury
Conditions
Keywords
Omega 3 lipid emulsions, Liver transplantation, Ischemia reperfusion injury, graft function
Brief summary
The study Aims to investigate the possible beneficial impact of peri-operative or post-operative administration of Omega 3 enriched lipid emulsions on recipients for living donor liver transplantation.
Detailed description
Patients will be divided intro three groups, A control group will receive equivalent volume of glucose 10% solution both 3 days before and 5 days after the operation . A peri-operative groups, in which patients will receive omega 3 enriched lipid emulsion (SMOFLipid) for 2 days pre-transplantation and 5 days post-transplantation A Post-operative group, in which patients will receive glucose 10% 3 days before the operation and omega 3 enriched lipid emulsion (SMOFLipid) for 5 days post-transplantation The primary outcome objective will be the incidence of Ischemia re-perfusion injury, secondary outcomes includes post-operative complications, graft and patient's outcomes and graft regeneration
Interventions
Patients will receive same dose of 10% glucose solution for 2 days pre operatives and 5 days post-operative
Sponsors
Study design
Eligibility
Inclusion criteria
* All liver transplant recipients
Exclusion criteria
* Budd chiari * Previous upper abdominal surgery * Re-transplantation * Known allergy to the study emulsion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ischemia reperfusion injury | 5 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Liver functions | 5 days | — |
| Early graft regeneration | one month | assessment of percent of liver regeneration 1 month PO |
| Late graft regeneration | 3 month | assessment of percent of liver regeneration 13 months PO |
Other
| Measure | Time frame |
|---|---|
| Infection | 28 days |
| length of hospital stay | 30 days |
| mortality | 28 days |
| Renal functions | 28 days |
Countries
Egypt