The value of pancreatic stone protein in predicting acute appendicitis in patients presenting at the emergency department with abdominal pain.

Abstract:

BACKGROUND:Pancreatic Stone Protein (PSP) is a protein naturally produced mainly in the pancreas and the gut. There is evidence from experimental and clinical trials that blood PSP levels rise in the presence of inflammation or infection. However, it is not known whether PSP is superior to other established blood tests (e.g. White Blood Count, Neutrophils or C - reactive protein) in predicting appendicitis in patients presenting with abdominal pain and a clinical suspicion of appendicitis at the emergency room. METHODS/DESIGN:The PSP Appendix Trial is a prospective, multi-center, cohort study to assess the value of PSP in the diagnostic workup of acute appendicitis. 245 patients will be prospectively recruited. Interim analysis will be performed once 123 patients are recruited. The primary endpoint of the study concerns the diagnostic accuracy of PSP in predicting acute appendicitis and therefore the evidence of appendicitis on the histopathological specimen after appendectomy. DISCUSSION:The PSP Appendix Trial is a prospective, multi-center, cohort study to assess the value of PSP in the diagnostic workup of acute appendicitis. TRIAL REGISTRATION:ClinicalTrials.gov: NCT01610193; Institution Ethical Board Approval ID: KEKZH- Nr. 2011-0501.

journal_name

BMC Gastroenterol

journal_title

BMC gastroenterology

authors

Tschuor C,Raptis DA,Limani P,Bächler T,Oberkofler CE,Breitenstein S,Graf R

doi

10.1186/1471-230X-12-154

subject

Has Abstract

pub_date

2012-10-25 00:00:00

pages

154

issn

1471-230X

pii

1471-230X-12-154

journal_volume

12

pub_type

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