Severe acute pancreatitis with pancreatic pseudocyst
Conditions
Interventions
Transmural drainage of the stomach and duodenum+Pa:Transmural drainage of the stomach and duodenum
Percutaneous drainage+Pancreatic stent drainage:Percutaneous drainage
Sponsors
The First Affiliated Hospital of Nanchang University
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: a) aged 18 to 70 years old; b) four weeks after the onset of acute pancreatitis; c) the definition of pseudocyst by 2012 revised classification criteria Atlanta, namely enhanced CT or EUS showed homogeneous low density area around the cyst fluid accumulation was significantly enhanced, excluding non-liquid ingredients; d) the following symptoms or complications: oppression large vessels; oppression of the stomach or duodenum cause bloating, nausea, vomiting, pain and other symptoms; oppression caused by the common bile duct stenosis or cholestasis; infection or bleeding; gastrointestinal bleeding; chest pancreatic fistula; cyst larger than 4cm, formed more than six weeks of its shape and size unchanged or larger; cyst formation time of more than six weeks, may cause complications.
Exclusion criteria
Exclusion criteria: a) the incidence of acute pancreatitis in 4 weeks; b) no symptoms and complications, cysts less than 4cm formed and who formed less than six weeks; c) severe heart,lung, liver disease, coagulation disorders,and there are other endoscopic contraindications; d) pregnant or lactating women; e) refused to sign an informed consent.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| The complication rate;Operation rate;Mortality rate; | — |
Primary
| Measure | Time frame |
|---|---|
| The success rate of intervention;Cyst recurrence rate; | — |
Countries
China
Contacts
Public ContactLiang Xia
Outcome results
None listed