Cohort Study on Nutritional, Metabolic, and Volumetric Assessment After Pancreaticoduodenectomy
NCT07159672 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 44
Last updated 2025-09-08
Summary
Periampullary malignant neoplasms are among the most lethal gastrointestinal tumors. They are usually diagnosed at advanced stages and require complex surgical treatment. Pancreaticoduodenectomy, the standard procedure for resectable cases, significantly impacts nutritional status, pancreatic function, and the structural integrity of the remaining pancreas. However, there are still significant knowledge gaps regarding the volumetric and molecular changes that occur postoperatively and how these changes interact with body composition, resting energy expenditure, and biochemical markers.
This prospective, controlled, cohort study aims to integrate clinical, nutritional, metabolic, molecular, and imaging data to investigate changes in the remnant pancreas and their associations with postoperative outcomes. The study is expected to provide novel insights to support personalized, evidence-based nutritional and metabolic care for patients undergoing pancreaticoduodenectomy.
Conditions
- Periampullary Neoplasms
- Pancreatic Cancer
- Pancreaticoduodenectomy
Interventions
- PROCEDURE
-
Pancreaticoduodenectomy
Pancreaticoduodenectomy (classic Whipple or pylorus-preserving) performed as part of standard clinical care for patients with periampullary malignant neoplasms. This procedure is not assigned by the study protocol, but is the exposure of interest. The study observes nutritional, metabolic, molecular, and imaging outcomes at baseline (preoperative), and at 3 and 6 months after hospital discharge.
Sponsors & Collaborators
-
University of Sao Paulo
collaborator OTHER -
Marco Aurélio Ribeiro, PhD
lead OTHER
Principal Investigators
-
Marco A Ribeiro, PhD, MSc, BSc, RD · Ribeirão Preto Medical School University of São Paulo
-
Anderson M Navarro, Prof, PhD, MSc, BSc, RD · Ribeirão Preto Medical School University of São Paulo
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-07-01
- Primary Completion
- 2024-12-31
- Completion
- 2024-12-31
Countries
- Brazil
Study Locations
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