Colorectal Cancer, Gastroesophageal Varices, Received Oxaliplatin-based Chemotherapy
Conditions
Keywords
portal hypertension, splenomegaly, colorectal carcinoma, oxaliplatin, hepatotoxicity
Brief summary
Oxaliplatin has been used as the first choice for the adjuvant chemotherapy of colorectal cancer and it has significantly improved the outcomes in patients with colorectal cancer. However, hepatotoxicity is the potentially problematic adverse effect of oxaliplatin. The pathological evaluation of non-tumoral liver from patients with advanced colorectal cancer undergoing neoadjuvant oxaliplatin-based treatment has provided histological evidence of hepatic sinusoidal injury. Oxaliplatin-induced sinusoidal injury can persist for more than 1 year after the completion of chemotherapy, and the increase in splenic volume may be a predictor of irreversible sinusoidal damage. In this current study, the investigators aim to evaluate the values of potential biomarkers in diagnosing patients with oxaliplatin-induced gastroesophageal varices after colorectal cancer surgery.
Interventions
DIAGNOSTIC_TESTthe level of vWF
the peripheral level of vWF
Sponsors
Shanghai Zhongshan Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Male or female patients aged 18-75 * Had a history of oxaliplatin-based chemotherapy for the treatment of colorectal cancer surgery;
Exclusion criteria
* Combined known etiologies of chronic liver disease, including hepatitis, primary biliary cirrhosis, schistosomiasis, and non-alcoholic fatty liver disease. * With colorectal cancer required further anti-tumor treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the severity of portal hypertension | 1 day (the same time as diagnosis) | High portal pressure |
Countries
China
Contacts
Primary ContactXiaoquan HUANG
Outcome results
None listed