Microbiome Patterns in Matched Bile, Duodenal, Pancreatic Tumor Tissue, Drainage, and Stool Samples: Association with Preoperative Stenting and Postoperative Pancreatic Fistula Development
Abstract
:1. Introduction
2. Experiment
2.1. Study Design
2.2. Sample Processing and DNA Purification
2.3. Statistical Analyses
3. Results
3.1. Patient Characteristics
3.2. Bacterial Composition at the Phylum and Genus Levels
3.3. Identification of Key Taxa Associated with Different Samples
3.4. Bacterial Richness and Diversity in the Samples
3.5. Relative Abundance and Associated Microbiome Profiles with Clinical Conditions
3.5.1. Stent Placement in the Bile Duct
3.5.2. Postoperative Complications (POPF B/C)
3.5.3. Pancreatic Tumor Tissue, Soft vs. Hard
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Demographics | Overall (n = 10) | POPF | |
---|---|---|---|
Yes (n = 3) | No (n = 7) | ||
Age | 44–89 | 66–79 | 44–89 |
Sex | |||
Male | 8 | 3 | 5 |
Female | 2 | 0 | 2 |
Body mass index (BMI) | |||
18.8–24.9 normal | 1 | 0 | 1 |
25.0–29.9 pre obesity | 6 | 3 | 3 |
30.0–34.9 obesity class 1 | 2 | 0 | 2 |
35.0–39.9 obesity class II | 1 | 0 | 1 |
Nicotine | |||
Yes | 1 | 0 | 1 |
No | 9 | 3 | 6 |
Proton pump inhibitors | |||
Yes | 4 | 3 | 1 |
No | 6 | 0 | 6 |
Histology | |||
Benign | 3 | 1 | 2 |
Malignant | 7 | 2 | 5 |
Physical ASA status (American Society of Anästhesiologists) | |||
1 | 0 | 0 | 0 |
2 | 4 | 0 | 4 |
3 | 6 | 3 | 3 |
Stent | |||
Yes | 7 | 3 | 4 |
No | 3 | 0 | 3 |
Gland texture | |||
Soft | 4 | 2 | 2 |
Hard | 7 | 1 | 6 |
Diameter of the pancreatic duct | |||
1 mm | 1 (soft) | 1 (hard) | |
2 mm | 0 | 2 | |
3 mm | 0 | 1 | |
4 mm | 1 (hard) | 1 (hard) | |
5 mm | 1 (soft) | 1 (hard) | |
6 mm | 0 | 0 | |
7 mm | 0 | 1 |
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Langheinrich, M.; Wirtz, S.; Kneis, B.; Gittler, M.M.; Tyc, O.; Schierwagen, R.; Brunner, M.; Krautz, C.; Weber, G.F.; Pilarsky, C.; et al. Microbiome Patterns in Matched Bile, Duodenal, Pancreatic Tumor Tissue, Drainage, and Stool Samples: Association with Preoperative Stenting and Postoperative Pancreatic Fistula Development. J. Clin. Med. 2020, 9, 2785. https://doi.org/10.3390/jcm9092785
Langheinrich M, Wirtz S, Kneis B, Gittler MM, Tyc O, Schierwagen R, Brunner M, Krautz C, Weber GF, Pilarsky C, et al. Microbiome Patterns in Matched Bile, Duodenal, Pancreatic Tumor Tissue, Drainage, and Stool Samples: Association with Preoperative Stenting and Postoperative Pancreatic Fistula Development. Journal of Clinical Medicine. 2020; 9(9):2785. https://doi.org/10.3390/jcm9092785
Chicago/Turabian StyleLangheinrich, Melanie, Stefan Wirtz, Barbara Kneis, Matthias M. Gittler, Olaf Tyc, Robert Schierwagen, Maximilian Brunner, Christian Krautz, Georg F. Weber, Christian Pilarsky, and et al. 2020. "Microbiome Patterns in Matched Bile, Duodenal, Pancreatic Tumor Tissue, Drainage, and Stool Samples: Association with Preoperative Stenting and Postoperative Pancreatic Fistula Development" Journal of Clinical Medicine 9, no. 9: 2785. https://doi.org/10.3390/jcm9092785