Liver Cirrhosis in Chronic Pancreatitis

  • Research type

    Research Study

  • Full title

    A Pilot Study to Determine the Rate of Liver Cirrhosis in Chronic Pancreatitis Patients with Biliary Obstruction

  • IRAS ID

    138447

  • Contact name

    Andrew M Smith

  • Contact email

    andrewm.smith@leedsth.nhs.uk

  • Sponsor organisation

    Leeds Teaching Hospitals NHS Trust

  • Research summary

    Chronic pancreatitis (CP) is the continual inflammation of the pancreas characterised by irreversible structural changes that results in loss of function manifesting as malabsorption, diabetes and pain. Hospital readmission for CP is high, utilising significant resources with an annual incidence of 1 in 100,000 in the UK. Excess alcohol is the commonest cause and with the increase of alcoholism, the annual incidence of CP is predicted to rise.

    Scarring of the bile duct in CP can result in obstructive jaundice. Jaundice in patients with CP normally resolves within a few weeks without the need for surgical intervention. However, recurrent episodes can result in persistent jaundice which can lead to organ dysfunction, scarring of the liver and ultimately liver failure or cancer.

    Patients identified as having CP according to the Cambridge Criteria of 1983 will be invited to undergo a specialised ultrasound scan of their liver (FibroScan™) after informed consent. This will be done in a dedicated clinic. No change to their management or impact on their health is involved.

  • REC name

    London - Surrey Borders Research Ethics Committee

  • REC reference

    13/LO/1957

  • Date of REC Opinion

    28 Jan 2014

  • REC opinion

    Further Information Favourable Opinion