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Incidence, Risk Factors and Endoscopic Retrieval of Proximally Migrated Pancreatic Stents

Incidence, Risk Factors and Endoscopic Retrieval of Proximally Migrated Pancreatic Stents: 25 Years of Experience in a Tertiary Center

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05431517
Enrollment
9073
Registered
2022-06-24
Start date
2022-06-30
Completion date
2022-07-31
Last updated
2022-09-14

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

Conditions

Pancreatic Stent Displacement, Pancreatic Stenting

Keywords

Endoscopic retrograde cholangiopancreatography

Brief summary

This study intends to determine the incidence, risk factors and endoscopic treatment of proximally migrated pancreatic stents.

Detailed description

Endoscopic pancreatic stenting can be used to treat a variety of pancreatic disorders, including chronic pancreatitis-induced pancreatic duct stenosis, pancreatic schizophrenia, pancreatic leakage, pancreatic pseudocyst drainage, and prophylactic pancreatic duct stenting. Postoperative stent migration is one of the complications associated with pancreatic stent placement. In this retrospective study, more than 9,000 Endoscopic retrograde cholangiopancreatography (ERCP) cases at our center over the past 25 years will be analyzed to determine the incidence, risk factors and endoscopic treatment of proximally migrated pancreatic stents.

Interventions

PROCEDUREAnalysis of ERCP records

Data will be extracted from ERCP records of stenting, mainly including: 1) Age at the time of ERCP; 2) Gender; 3) Indication; 4) Papilla selection (major or minor); 5) Whether endoscopic sphincterotomy (EST) was performed; 6) Presence of nipple diverticulum; 7) Morphology of the pancreatic duct; 8) Status of pancreatic duct stones; 9) Number, shape, material, diameter and length of the stent; and 10) Operation of the bile duct. Additional data were extracted from the pertinent ERCP records of stent migration: 1) Shape, material, diameter and length of the displaced stent; 2) Type of migration; and 3) Removal tools.

Sponsors

Changhai Hospital
Lead SponsorOTHER

Study design

Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Pancreatic stent placement under ERCP; * Pancreatic stent migration found by ERCP; * Displaced pancreatic stent removal by ERCP technique.

Exclusion criteria

* Incomplete ERCP records (e.g., missing stent size information); * Immediate removal of pancreatic stent following implantation for a variety of reasons.

Design outcomes

Primary

MeasureTime frame
Incidence of proximally migrated pancreatic stentsWithin 1 month after data analysis
Success rate of endoscopic removal of migrated pancreatic stentsWithin 1 month after data analysis

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026