Health Condition 1: K859- Acute pancreatitis, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients of acute pancreatitis (AP) with =18 years of age 2. Patients with symptomatic WON requiring EUS guided transluminal drainage 3. Provision of written informed consent
Exclusion criteria
Exclusion criteria: .1. Patients with collection not amenable for EUS guided drainage (distance of WON more than 1 cm from the gastrointestinal lumen) 2. Patients moribund to undergo endoscopic procedure (Glasglow coma scale below 8 or patients on ventilatory support) 3. Patients with underlying calcific pancreatitis 4. Patients with previous history of intervention (endoscopic or surgical) in the collection prior to screening 5. Patients with irreversible coagulopathy like platelets less than 50,000/mm3 and/or INR more than 1.5 6. Pregnant female
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To compare clinical success of Nasocystic drain with metal stent vs metal stent alone for endoscopic ultrasound guided transluminal drainage in patients with symptomatic walled off necrosis 2. To compare need of necrosectomy (endoscopic or surgical) after index drainage procedure to achieve clinical success between the two groups Timepoint: Primary outcome will be assessed at 72 hours of index drainage procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To compare time for resolution of SIRS from index procedure between two groups 2. To compare all-cause mortality due to basic disease and its complications between the two groups 3. To compare procedure related complications as per ASGE- Lexicon guidelines between the two groups Timepoint: secondary outpoints will be assessed at the end of discharge or death | — |
Countries
India
Contacts
Post Graduate Institute of Medical Education & Research, Chandigarh