Post-operative pancreatic fistula MedDRA version: 20.0 Level: PT Classification code 10049192 Term: Pancreatic fistula System Organ Class: 10017947 - Gastrointestinal disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age = 18 years. • Lesion(s) of the body and/or tail of the pancreas for which open, laparoscopic or robot-assisted distal pancreatectomy will be performed. • Signed informed consent. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: • Hypersensitivity to BOTOX (or the components in the BOTOX formulation). • American Society of Anesthesiologists score >III. • Unable to undergo duodenoscopy (due to any anatomic condition). • Pregnancy or lactation. • Serious concomitant systemic disorders that would compromise the safety of the patient or his/her ability to complete the study, at the discretion of the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To examine the feasibility and safety of preoperative endoscopic BOTOX® injection in the sphincter of Oddi. ;Secondary Objective: To examine the effect of preoperative endoscopic BOTOX® injection in the sphincter of Oddi on the occurrence of postoperative pancreatic fistulas. ;Primary end point(s): The primary endpoint of this pilot project is to determine the feasibility and safety of preoperative endoscopic BOTOX® injection in the sphincter of Oddi. We deem this treatment feasible in case we can complete the proposed treatment in 12 out of 15 patients.;Timepoint(s) of evaluation of this end point: LPLV | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): As a secondary endpoint we will investigate the effect of preoperative endoscopic BOTOX® injection in the sphincter of Oddi on the occurrence of postoperative pancreatic fistulas.;Timepoint(s) of evaluation of this end point: LPLV | — |
Countries
Netherlands
Contacts
Erasmus MC