Health Condition 1: null- Acute Pancreatitis (Severe and moderately severe)
Conditions
Interventions
Intervention1: Early Surgery Arm: This group of patients will taken up for video assisted retroperitoneal debridement (VARD).
The patient was placed in supine position with the left side 30 degrees el
Sponsors
Rajesh Gupta
Eligibility
Inclusion criteria
Inclusion criteria: Patients with moderately severe and severe acute pancreatitis who are being managed with percutaneous catheter drainage for three to seven days and who deteriorated or did not show significant improvement on PCD treatment alone.
Exclusion criteria
Exclusion criteria: 1. Traumatic pancreatitis 2. Previous intervention for pancreatitis like surgical/ endoscopic necrosectomy 3. Significant improvement after PCD insertion. (Improvement was characterized by tolerance to oral feeds, falling WBC counts, resolution of organ failure, defervescence)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Mortality in the two groups 2. Morbidity in the two groups 3. Duration of hospital stay 4. Proportion of patients who required surgery in group B 5. Proportion of patients who required conventional open necrosectomy in both groupsTimepoint: Till discharge from hospital | — |
Secondary
| Measure | Time frame |
|---|---|
| Bleeding/Perforation of a visceral organ/ Enterocutaneous fistula requiring intervention Timepoint: Till discharge from hospital;New onset organ failure/sepsis/systemic complication Timepoint: Till discharge from hospital;Pancreatic fistula formationTimepoint: Till discharge from hospital;Reversal of existing organ failure/sepsis/systemic complication Timepoint: Till discharge from hospital;Total number of PCD/ other interventions requiredTimepoint: Till discharge from hospital | — |
Countries
India
Contacts
Public ContactRajesh Gupta
PGIMER, CHANDIGARH
Outcome results
None listed