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Preventing recurrent *idiopathic* acute pancreatitis through laparoscopic cholecystectomy (PICUS-2): a multicenter randomized trial

Recruiting
Conditions
idiopathic pancreatitis
inflammation of the pancreas with an unknown origin
10017969
10017998
Registration Number
NL-OMON53591
Lead Sponsor
Amsterdam UMC
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
220
Inclusion Criteria

1. Patient older than 18 years
2. First episode of idiopathic acute pancreatitis
3. Full required diagnostic work-up of patient has been performed, including EUS
4. Informed consent for participation was obtained

Exclusion Criteria

1. Patients with recurrent acute pancreatitis
2. Diagnosis of chronic pancreatitis
3. Patients with a pancreatic malignancy
4. Patients who have received a laparoscopic cholecystectomy prior to PICUS-2
5. Patients in whom a known etiology is found during diagnostic work-up
6. Patients in whom complete diagnostic work-up by EUS is not possible (eg.
Roux-en-y bypass)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The primary outcome measure for this trial is a confirmed recurrent acute<br /><br>pancreatitis (irrespective of the aetiology of recurrent pancreatitis) within<br /><br>one year from the date of randomization</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>The secondary outcome measures for this trial are<br /><br>- Readmission for one or more of the following reasons: Recurrent pancreatitis;<br /><br>Cholecystitis; Cholangitis; Obstructive choledocholithiasis needing endoscopic<br /><br>retrograde cholangiopancreatography; Gallstone colic.<br /><br><br /><br>- Complications of LC: Bile duct injury and bleeding; Requiring the need for<br /><br>additional surgical endoscopic, or radiological intervention; infection; Other<br /><br>complications such as pneumonia, bacteremia, and new-onset organ failure.<br /><br><br /><br>- Number and severity of recurrent episodes of pancreatitis<br /><br><br /><br>- Quality of life (QALY)<br /><br><br /><br>- Costs (hospital and societal)<br /><br><br /><br>- Cost-effectiveness</p><br>
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