Walled-off pancreatic necrosis
Conditions
Interventions
Nasal drainage tube placement group :Metal stent implantation + Nasocystic drainage
Metal stent placement group:Metal stent placement
Sponsors
The First Affiliated Hospital of Nanchang University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1) Age of 18-80 years old, both sexes; 2) WON adjacent to the gastric or duodenal wall on CT or MRI; 3) Coexisting with one of the following symptoms; a. There are obvious compression symptoms, including abdominal pain/bloating, anorexia/early satiety, nausea/vomiting, jaundice and other symptoms b. Persistent fever, clinical suspicion or confirmed walled-off necrosis complicated with infection (WBC/CRP increased, CT showed bubbles in the cavity, etc.) c. Rapid enlargement of the lesion in a short period of time 4) signed informed consent
Exclusion criteria
Exclusion criteria: 1) Coagulopathy (INR>1.5) and thrombocytopenia (1.0cm from gastrointestinal wall; 5) patients with severe heart and lung diseases who cannot tolerate surgery; 6) pregnant or lactating patients; 7) patients who refused to sign informed consent form
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood cell analysis;C-reactive protein;Procalcitonin;Interleukin-6; | — |
Secondary
| Measure | Time frame |
|---|---|
| Cure rate;Duration of stent placement;Endoscopic debridement times ;The proportion requiring further percutaneous drainage or conversion to surgery; | — |
Countries
China
Contacts
Public ContactZhu Yin
The First Affiliated Hospital of Nanchang University
Outcome results
None listed