Health Condition 1: K859- Acute pancreatitis, unspecified
Conditions
Interventions
Intervention1: Rndoscopic transluminal drainage/necrosectomy: Endoxcopic transluminal drainage/necrosectomy
Control Intervention1: Surgical arm: Laparoscopic transgastric necrosectomy (LTGN)
Endoscopi
Sponsors
No sponsor
Eligibility
Inclusion criteria
Inclusion criteria: 1. All patient with symptomatic WON (4-6 weeks after acute attack) with or without previous percutaneous catheter drainage 2. Both sex within age limit of 15 years to 80 years 3. Should have WON in lesser sac or in vicinity of stomach or duodenum, (which will be amenable to ETLD or LTGN) with or without extension in deep retroperitoneum like paracolic gutters or colonic mesentery
Exclusion criteria
Exclusion criteria: Those not meeting inclusion criteria Those who do not give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Sepsis reversal 2.Normalization of organ failure 3.Resolution of other indication for intervention (fever, jaundice, GOO etc) 4.Resolution of WON Timepoint: Baseline, day 3, day 7, day 14 after intervention(or repeat intervention) and weekly to maximum at 90 days after first intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Length of intensive care unit (ICU) and total hospital stay 2. Proportion of patients requiring DEN in endoscopic arm 3. Proportion of patients requiring redo surgery in laparoscopic arm 4. Number of interventions required in endoscopic arm 5. Procedure related complications in two groups 6. Proportion of patients with crossover from endoscopic to laparoscopic arm Timepoint: 3 months | — |
Countries
India
Contacts
Public ContactRohit Prasad Bhatta
PGIMER CHANDIGARH
Outcome results
None listed