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Role of Octreotide in Preventing Pancreatic Fistula After Pancreaticoduodenectomy (PD) in Patients With Soft Pancreas

Phase 4
Completed
Conditions
Pancreatic Fistula
Interventions
Drug: Inj. Octreotide
Registration Number
NCT01301222
Lead Sponsor
PVS Memorial Hospital
Brief Summary

This randomized controlled trial (RCT) aims at assessing the influence of octreotide on pancreatic fistula or complications following pancreatoduodenectomy in patients with soft pancreas. Previously reported trials have included all types of pancreatic resections and have include all types of pancreas and have shown no clearcut benefit of octreotide after pancreaticoduodenectomy (PD). Soft pancreas and normal sized duct are the risk factors for fistula following PD. This study's focus is on this select group of patients and aims to assess the role of octreotide in patients with soft pancreas.

Detailed Description

Study design: Prospective open labeled randomized trial. AIM: Study aims at assessing the influence of octreotide on pancreatic fistula or complications following pancreatoduodenectomy in patients with soft pancreas.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
110
Inclusion Criteria

elective surgery patients undergoing pancreatoduodenectomy

  • soft pancreas, no dilated duct
Exclusion Criteria
  • age > 75 years old
  • documented chronic pancreatitis
  • previous pancreatic surgery
  • previous gastric surgery vagotomy
  • documented pancreatic duct dilatation

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
octreotideInj. Octreotideoctreotide arm 100mcg for 5 days. control has no octreotide
Primary Outcome Measures
NameTimeMethod
Pancreatic fistula30 days

All grades of postoperative pancreatic fistula as per ISGPF definition

Secondary Outcome Measures
NameTimeMethod
complications30 days

All outcome measures like oral liquid feeds, semisolid food,hospital stay and complications like bleeding, intra-abdominal collections, respiratory complications, DGE etc are monitored

Trial Locations

Locations (1)

PVS Memorial Hospital

🇮🇳

Kochi, Kerala, India

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