Evaluating the Efficacy of CPAP Therapy for the Treatment of Fatty Liver
Status: | Not yet recruiting |
---|---|
Conditions: | Gastrointestinal |
Therapuetic Areas: | Gastroenterology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 4/2/2016 |
Start Date: | July 2016 |
End Date: | July 2018 |
Evaluating the Efficacy of CPAP Therapy for the Treatment of Non-Alcoholic Fatty Liver Disease (NAFLD)
We are doing this research study to evaluate whether continuous positive airway pressure
(CPAP), a treatment for sleep apnea, will also help treat fatty liver disease. Sleep apnea
is a disease where a person has interruptions in their breathing while they are sleep. This
can lead to low oxygen levels in the blood. CPAP is a mask that delivers oxygen at high
pressure to the lungs to prevent a decrease in blood oxygen levels. CPAP is a known
treatment for sleep apnea.
(CPAP), a treatment for sleep apnea, will also help treat fatty liver disease. Sleep apnea
is a disease where a person has interruptions in their breathing while they are sleep. This
can lead to low oxygen levels in the blood. CPAP is a mask that delivers oxygen at high
pressure to the lungs to prevent a decrease in blood oxygen levels. CPAP is a known
treatment for sleep apnea.
Inclusion Criteria:
- Adults 18 years of age or older with a previous liver biopsy showing NASH and at
least grade 2 steatosis
- Obstructive sleep apnea diagnosed by sleep study.
Exclusion Criteria:
- Other causes of chronic liver disease
- cirrhosis
- less than 33% steatosis identified on magnetic resonance spectroscopy (MRS)
- Alcohol use >2 units per day for women or >3 units per day for men
- Intolerance to or refusal of CPAP therapy
- overnight desaturation (more than 10% of the sleep time with oxygen desaturation
below 85%)
- underlying sever sleepiness (Epworth scale more than 15)
- uncontrolled hypertension
- Severe heart failure (ejection fracture less than 30%)
- cardiac arrhythmias (atrial fibrillation or history of ventricular tachycardia)
- those who are commercial drivers
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