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Pancreatic Stent to Prevent Leak After Distal Pancreatectomy

Leak Elimination After Pancreatic Stenting, a Randomized Controlled Trial

Status
Withdrawn
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00671463
Acronym
LEAPS
Enrollment
0
Registered
2008-05-05
Start date
2008-04-30
Completion date
Unknown
Last updated
2013-06-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pancreatic Surgery, Pancreatic Duct Stenting, Pancreatic Cancer, Distal Pancreatectomy, Pancreatic Diseases, Pancreatic Cyst, Pancreatic Ducts

Keywords

Pancreas surgery, Pancreatic adenocarcinoma, Pancreatic neuroendocrine tumor, Pancreatic duct stenting

Brief summary

The purpose of this study is to investigate an intervention to prevent complications after pancreas surgery. The goal is to determine if placing a stent into the pancreatic duct before surgery will decrease or prevent leaking from the pancreatic duct after surgery. Leaks are common after pancreas surgery and can result in serious problems and post-operative pain. The study will compare two groups. One group will have the stent before surgery, and the other group will have standard pancreas surgery, no endoscopy, and no stent.

Interventions

In the treatment arm, patients will have a pancreatic duct stent placed prior to having their distal pancreatectomy.

Sponsors

Massachusetts General Hospital
Lead SponsorOTHER
American Society for Gastrointestinal Endoscopy
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Adult patients (greater than or equal to 18 years of age) * Scheduled to undergo an elective laparoscopic or open distal pancreatectomy * Willing to undergo pre-operative endoscopy * Consenting to the procedure

Exclusion criteria

* Contraindication to abdominal surgery * Contraindication to general anesthesia or distal pancreatectomy * Contraindication to upper endoscopy or ERCP * Prior history of gastric bypass or other abdominal surgery in whom the ampulla will not be accessible via routine ERCP * Ongoing pancreatitis * Pancreatic necrosis or abscess * History of sphincter of Oddi dysfunction * History of ERCP-induced pancreatitis

Design outcomes

Primary

MeasureTime frame
Pancreatic leakPost-operative day 3

Secondary

MeasureTime frame
Peritoneal fluid analysisDaily
Serum biochemical analysisDaily
Clinical outcomesDaily

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026