multiorgaan falen na sepsis, trauma, pancreatitis, shock, etc multiple organ dysfunction syndrome multiple organ failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: age between 18-80 years;informed consent;The presence of multiple organ dysfunction syndrome (MODS), defined as more than 2 failing organs, irrespective of the aetiology (page 5, protocol)
Exclusion criteria
Exclusion criteria: *Documented causes of small bowel malabsorption possibly interfering with intestinal absorptive function, e.g. coeliac disease, Crohn*s disease of the small bowel, exocrine pancreatic insufficiency, radiation enteritis or short bowel syndrome. *Small intestinal resections and/or extensive colonic resection (> 2/3). *Liver cirrhosis Child-Pugh B or C, acute liver failure or renal failure requiring artificial support (e.g. CVVH). *Urea cycle defects/citrullinaemia. *Pregnancy (no long-term data are available on the effects of Dipeptiven* during pregnancy or lactation). *Use of (par)enteral medium chain triglycerides (MCT) or glutamine/citrulline supplements.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| results of CGT testing: baseline citrulline levels, citrulline generation (AUC) after stimulation with intravenous glutamine sugar absorption testing to define intestinal permeability assessment of intestinal absorption using bombcalorimetry | — |
Secondary
| Measure | Time frame |
|---|---|
| comparison of primary parameters with nutritional indices and prognostic outcome parameters | — |
Countries
Netherlands