Biliary Pancreatitis
Conditions
Keywords
Biliary pancreatitis, Bile duct stones, EUS Endoscopic UltraSonography, Endoscopic sphincterotomy, ERCP
Brief summary
Impact on outcome of early endoscopic extraction of bile duct stones in biliary pancreatitis: a prospective multicenter randomized controlled study.
Detailed description
Impact on outcome of early endoscopic extraction of bile duct stones in biliary pancreatitis: a prospective multicenter randomized controlled study. Main objective: to test the interest of early bile duct decompression by endoscopic sphincterotomy after early non invasive diagnosis by endosonography or MR cholangiography. Prospective multicenter randomized controlled study with direct patient benefit
Interventions
procedure
Sponsors
Study design
Eligibility
Inclusion criteria
* Previous medical examination * Age over 18 * Acute biliary pancreatitis * Timespan between onset of symptoms and randomization \<72h * No involvement in another clinical study * Informed consent obtained
Exclusion criteria
* Non biliary pancreatitis * Age \< 18 * Timespan between onset of symptoms and randomization \>72h * No follow-up possible beyond 3 months after inclusion * Ongoing pregnancy * No informed consent * No health insurance affiliation * Involvement in another clinical study * Incapacity to understand subject information * Counter indication of MRI examination if echo-endoscopy is not available
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of patients cured or consolidated as a function of time | during 12 months |
Secondary
| Measure | Time frame |
|---|---|
| overall mortality | during the 36 months |
| endoscopic procedure-related morbidity and mortality | during the 12months |
| overall morbidity | during the 36 months |
| morbidity in the subgroup of patients with bile duct stones left in situ (secondary sphincterotomies) | during the 12 months |
| economic data | during the 36 months |
| LOS | during the 12 months |
Countries
France