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临床试验/CTRI/2014/11/005191
CTRI/2014/11/005191招募中未知

A Randomized Trial of Rectal Indomethacin and Papillary Spray of Epinephrine Versus Rectal Indomethacin to Prevent Post-ERCP Pancreatitis in High Risk Patients (INDIEH) - INDIEH

Johns Hopkins University0 个研究点目标入组 948 人开始时间: 待定最近更新:

试验速览

阶段
未知
状态
招募中
入组人数
948

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

入选标准

  • Major inclusion criteria (If patients meet at least 1 of the criteria)
  • 1. History of PEP
  • 2. Pancreatic sphincterotomy
  • 3. Pre-cut sphincterotomy
  • 4. Difficult cannulation (more than 5 attempts or more than 10 minutes to cannulate)
  • 5. Failed cannulation
  • 6. Pneumatic dilation of an intact sphincter
  • 7. Sphincter of Oddi dysfunction of Type I or Type II.
  • Minor inclusion criteria (If patients meet at least 2 of the criteria)
  • 1. Age less than 50 and Female gender
  • 2. History of acute pancreatitis (at least 2 episodes)
  • 3. Greater than or equal to 3 pancreatic injections (with at least 1 injection in tail)
  • 4. Pancreatic acinarization
  • 5. Pancreatic Brush Cytology

排除标准

  • 1.Unwillingness or inability to consent for the study
  • 2.Age less than 18 years
  • 3.Intrauterine pregnancy
  • 4.Breastfeeding mother
  • 5.Standard contraindications to ERCP
  • 6.Allergy / hypersensitivity to aspirin or NSAIDs or epinephrine
  • 7.Chronic renal disease (Cr greater than 1.8)
  • 8.Active or recent (within 4 weeks) gastrointestinal hemorrhage
  • 9.Acute pancreatitis (lipase peak) within 72 hours
  • 10.Known chronic calcific pancreatitis
  • 11.Pancreatic head mass
  • 12.Receiving pancreatic duct stent placement for any indication
  • 13.Procedure performed on major papilla/ventral pancreatic duct in patients with pancreas divisum
  • 14.ERCP for pancreatic/biliary stent removal or exchange without anticipated pancreatogram
  • 15.Subject with prior biliary sphincterotomy now scheduled for repeat biliary therapy without anticipated pancreatogram
  • 16.Anticipated inability to follow protocol
  • 17.Sphincter of Oddi dysfunction of Type III

研究者

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