Chronic pancreatitis/chronische pancreatitis Pancreatic duct strictures/Ductus pancreaticus stricturen
Conditions
Interventions
Randomisation between endoscopic placement of a biodegradable self expandable stent or plastic stent to treat a fibrotic pancreatic duct stricture
Sponsors
Erasmus University Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: Chronic pancreatitis patients with a symptomatic fibrotic PD stricture (located proximal from the spine), for which endoscopic drainage is considered.
Exclusion criteria
Exclusion criteria: 1. Age <18 years 2. Contra-indication for endoscopy 3. CBD obstruction 4. Suspected pancreatic malignancy 5. Limited life expectancy (<1 year) 6. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is the number of therapeutic interventions during the 24 months follow-up period (defined as therapeutic endoscopic procedures related to the pancreatic duct stricture or pancreatic pain (ERCP, insertion of feeding tubes) and surgical procedures. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Clinical success, defined as no need for further PD drainage after stent extraction or resolution. 2. Complications. 3. Pain relief, defined as complete; Izbicki score 50% decrease. 4. Stricture recurrence, defined as need for a re-intervention for a PD stricture after stent extraction or resolution. 5. Conversion to surgery. | — |
Contacts
Public ContactD.L. Cahen
Department of Gastroenterology & Hepatology, Room H-337
Outcome results
None listed