The Economic Impact of the Pancreatography in the Endoscopic Treatment of Pancreatic Pseudocysts
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 主要终点
- The impact of the pancreatography in the endoscopic treatment of pancreatic pseudocysts
研究概览
简要总结
Pancreatic pseudocysts (PP) present as a complication that occurs in 5-15% of acute pancreatitis and 26-40% of chronic pancreatitis (1-3). To date the endoscopic drainage with endoscopic ultrasound (EUS) has replace the surgical treatment due to the similar success and complication rate but with a lower cost and short hospital stay (4-6). Regarding recurrence, it is important to know the anatomy of the main pancreatic duct (MPD). For this purpose, the endoscopic retrograde pancreatography (ERP) has been describe as a useful tool. In fact, many authors perform it before the endoscopic drainage while others wait several weeks after the drainage (7-9) with similar technical success (5,8). However, there are no studies that compare the technical difficulty and the total cost between these two approaches.
详细描述
METHODS: Random control trial between two groups. Group 1 the ERP will be performed the same day of the endoscopic drainage of PP. Group 2 the ERP will be performed 6 weeks after the endoscopic drainage of PP. Each ERP will be performed by an expert in ERP in patients who fulfilled the Atlanta criteria for PP. The patients will be enrolled and informed consent will be explained and signed. In those patients who ERP fails, a second attempt will be performed 6 weeks after the endoscopic drainage of PP (Group 1) or a magnetic resonance cholangiopancreatography will be performed (Group 2).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pancreatic pseudocyst that fulfilled the Atlanta Classification
- •Symptomatic pancreatic pseudocyst
- •Informed consent obtained
排除标准
- •Patient unwilling to participate
- •Absence of duration time of the pancreatography procedure in the record
- •Absence of the number of weeks between the drainage and the pancreatography
研究组 & 干预措施
Same day
The ERP will be performed the same day of the endoscopic drainage of PP
干预措施: Endoscopic retrograde pancreatography (Procedure)
Other day
The ERP will be performed 6 weeks after the endoscopic drainage of PP.
干预措施: Endoscopic retrograde pancreatography (Procedure)
结局指标
主要结局
The impact of the pancreatography in the endoscopic treatment of pancreatic pseudocysts
时间窗: 6 weeks
Determine the impact of the timing performing an endoscopic pancreatography in relation of the drainage of pancreatic pseudocyst
次要结局
未报告次要终点
研究者
Angela Saúl
Principal investigator
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran