Liver cancer pancreas cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients undergoing any of the following surgical interventions: • Partial hepatic resection for an underlying hepatic malignancy • Pancreaticoduodenectomy for a pancreatic malignancy • Living donor liver transplantation
Exclusion criteria
Exclusion criteria: Exclusion criteria are as follows: • Patients who are known to suffer from an active viral infection (e.g. hepatitis B or C) • Patients with severe portal hypertension • Patients who cannot provide informed consent due to cognitive impairment or language barrier
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study parameter is the intestinal uptake of microbiome-derived metabolites as defined by their enrichment between arterial (pre-intestinal) and post-intestinal (portal venous) blood samples. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are the association between intestinal uptake of metabolites with microbial features determined by metagenomic sequencing, and - in the subset of patients undergoing partial liver resection - the rate of hepatic clearance of microbial metabolites between pre-hepatic (portal venous) and post-hepatic (hepatic venous) blood samples in relation to hepatic gene expression of phase I and phase II biotransformation enzymes in a research liver biopsy. | — |
Countries
Netherlands