Pancreatic Surgery, Pancreatic Duct Stenting, Pancreatic Cancer, Distal Pancreatectomy, Pancreatic Diseases, Pancreatic Cyst, Pancreatic Ducts
Conditions
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
Study design
Eligibility
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
| Measure | Time frame |
|---|---|
| Pancreatic leak | Post-operative day 3 |
Secondary
| Measure | Time frame |
|---|---|
| Peritoneal fluid analysis | Daily |
| Serum biochemical analysis | Daily |
| Clinical outcomes | Daily |
Countries
United States