EVALUATING LACTOFERRIN AND CALPROTECTIN AS MARKERS OF INTESTINAL INFLAMMATION INCHRONIC PANCREATITIS.

Q2 Medicine Arquivos de Gastroenterologia Pub Date : 2024-03-04 eCollection Date: 2024-01-01 DOI:10.1590/S0004-2803.246102024-03
Claudia Teresa Carvente, Maria Lúcia Cardoso Gomes Ferraz, Carlos Fischer de Toledo
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Abstract

Background: The treatment of chronic pancreatitis does not consistently solve intestinal abnormalities, and despite the implementation of various therapeutic measures, patients often continue to experience persistent diarrhea. Therefore, it is imperative to recognize that diarrhea may stem from factors beyond pancreatic insufficiency, and intestinal inflammation emerges as a potential contributing factor.

Objective: The aim of this study was to assess fecal lactoferrin and calprotectin levels as indicators of intestinal inflammation in patients with chronic pancreatitis experiencing persistent diarrhea.

Methods: In this study, 23 male patients with chronic pancreatitis primarily attributed to alcohol consumption and presenting with diarrhea (classified as Bristol stool scale type 6 or 7), underwent a comprehensive evaluation of their clinical and nutritional status. Fecal lactoferrin and calprotectin levels were mea-sured utilizing immunoassay techniques.

Results: The average age of the participants was 54.8 years, 43.5% had diabetes, and 73.9% were smokers. Despite receiving enzyme replacement therapy and refraining from alcohol for over 4 years, all participants exhibited persistent diarrhea, accompanied by elevated calprotectin and lactoferrin levels indicative of ongoing intestinal inflammation.

Conclusion: The findings of this study underscore that intestinal inflammation, as evidenced by elevated fecal biomarkers calprotectin and lactoferrin, may contribute to explaining the persistence of diarrhea in patients with chronic pancreatitis.

Background: • Exploration of intestinal inflammation in chronic pancreatitis patients with altered bowel habits.

Background: • Assessment of 23 patients using lactoferrin and calprotectin as intestinal inflammation biomarkers.

Background: • Intestinal inflammation was detected in all patients; positive correlation between both biomarkers.

Background: • Established connection between altered bowel habits and intestinal inflammation in chronic pancreatitis.

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评估作为慢性胰腺炎肠道炎症标志物的乳铁蛋白和钙蛋白。
背景:慢性胰腺炎的治疗并不能一成不变地解决肠道异常问题,尽管采取了各种治疗措施,但患者往往仍会持续腹泻。因此,必须认识到腹泻可能源于胰腺功能不全以外的因素,而肠道炎症则是一个潜在的诱因:本研究的目的是评估慢性胰腺炎患者的粪便乳铁蛋白和钙粘蛋白水平,作为持续腹泻患者肠道炎症的指标:在这项研究中,23 名主要因饮酒导致慢性胰腺炎并伴有腹泻(布里斯托粪便量表 6 型或 7 型)的男性患者接受了临床和营养状况综合评估。利用免疫测定技术测定了粪便乳铁蛋白和钙粘蛋白水平:参与者的平均年龄为 54.8 岁,43.5% 的人患有糖尿病,73.9% 的人吸烟。尽管接受了酶替代疗法并戒酒 4 年多,但所有参与者都表现出持续腹泻,同时伴有钙蛋白和乳铁蛋白水平升高,表明肠道炎症仍在持续:本研究的结果强调,粪便生物标志物钙蛋白和乳铁蛋白升高所显示的肠道炎症可能是慢性胰腺炎患者持续腹泻的原因之一:- 探究排便习惯改变的慢性胰腺炎患者的肠道炎症:- 使用乳铁蛋白和钙粘蛋白作为肠道炎症生物标志物对23名患者进行评估:- 所有患者均检测到肠道炎症;两种生物标志物之间呈正相关:- 慢性胰腺炎患者肠道习惯改变与肠道炎症之间的联系已被证实。
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来源期刊
Arquivos de Gastroenterologia
Arquivos de Gastroenterologia Medicine-Gastroenterology
CiteScore
2.00
自引率
0.00%
发文量
109
审稿时长
9 weeks
期刊介绍: The journal Arquivos de Gastroenterologia (Archives of Gastroenterology), a quarterly journal, is the Official Publication of the Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia IBEPEGE (Brazilian Institute for Studies and Research in Gastroenterology), Colégio Brasileiro de Cirurgia Digestiva - CBCD (Brazilian College of Digestive Surgery) and of the Sociedade Brasileira de Motilidade Digestiva - SBMD (Brazilian Digestive Motility Society). It is dedicated to the publishing of scientific papers by national and foreign researchers who are in agreement with the aim of the journal as well as with its editorial policies.
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