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Oxaliplatin has been used as the first choice for the adjuvant chemotherapy of colorectal cancer and it has significantly improved the outcomes in patients with colorectal cancer. However, hepatotoxicity is the potentially problematic adverse effect of oxaliplatin. The pathological evaluation of non-tumoral liver from patients with advanced colorectal cancer undergoing neoadjuvant oxaliplatin-based treatment has provided histological evidence of hepatic sinusoidal injury. Oxaliplatin-induced sinusoidal injury can persist for more than 1 year after the completion of chemotherapy, and the increase in splenic volume may be a predictor of irreversible sinusoidal damage. In this current study, the investigators aim to evaluate the values of potential biomarkers in diagnosing patients with oxaliplatin-induced gastroesophageal varices after colorectal cancer surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| stage 0 | without liver function injury or splenomegaly |
| |
| stage 1 | occurrence of liver function injury (ALT or AST > 2 ULN (upper limit of normal) |
| |
| stage 2 | occurrence of splenomegaly or reduced platelet count (<150 X10^9/L) |
| |
| stage 3 | occurrence of portal hypertension and/or gastroesophageal varices |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| the level of vWF | Diagnostic Test | the peripheral level of vWF |
|
| Measure | Description | Time Frame |
|---|---|---|
| the severity of portal hypertension | High portal pressure | 1 day (the same time as diagnosis) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who had a history of colorectal cancer and received oxaliplatin-based chemotherapy
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaoquan HUANG | Contact | 008618801733835 | huang.xiaoquan@zs-hospital.sh.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Gastroenterology and Hepatology | Shanghai | Shanghai Municipality | 200032 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32380558 | Result | Huang X, Li F, Wang L, Xiao M, Ni L, Jiang S, Ji Y, Zhang C, Zhang W, Wang J, Chen S. Endoscopic treatment of gastroesophageal variceal bleeding after oxaliplatin-based chemotherapy in patients with colorectal cancer. Endoscopy. 2020 Sep;52(9):727-735. doi: 10.1055/a-1157-8611. Epub 2020 May 7. | |
| 17075116 | Result |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D006975 | Hypertension, Portal |
| D013163 | Splenomegaly |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| Aloia T, Sebagh M, Plasse M, Karam V, Levi F, Giacchetti S, Azoulay D, Bismuth H, Castaing D, Adam R. Liver histology and surgical outcomes after preoperative chemotherapy with fluorouracil plus oxaliplatin in colorectal cancer liver metastases. J Clin Oncol. 2006 Nov 1;24(31):4983-90. doi: 10.1200/JCO.2006.05.8156. |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D008107 | Liver Diseases |
| D006984 | Hypertrophy |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |