acute pancreatitis pancreatic fluid collection double pigtail stent plastic stent endoscopic transmural drainage abnormal pancreatic duct pancreatic fluid collection recurrence
Conditions
Interventions
Group A:
1. Endoscopic stent removal within 2 weeks of randomization
2. Follow-up S-MRCP at T=6 months, T= 12 months, T= 18 months.
Group B:
1. Endoscopic stent removal within 2 weeks of 12 month S-MRCP
2. Follow-up S-MRCP at T=6 months, T=12 months, T=18 months.
Sponsors
University Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient over 18 years old; 2. PFC resolution (no remaining fluid collection larger than 3 cm); 3. Pigtail(s) positioned in remnant PFC; 4. Abnormal PD on S-MRCP performed 12-16 weeks after drainage; 5. Ductal dilation (≥ 5 mm in body or tail); 6. Ductal disruption; 7. Both ductal dilation and ductal disruption.
Exclusion criteria
Exclusion criteria: 1. PFC complicating chronic pancreatitis; 2. PFC after surgery; 3. Recurrence of prior treated PFC; 4. Acute-on-chronic pancreatitis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recurrence of a PFC (>6 cm or symptomatic) proximal to the initial PD disruption after an endoscopically drained PFC at or within 18 months after randomization. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Complications caused by spontaneous stent migration into the cyst; 2. Number of spontaneous stent migrations before removal. | — |
Contacts
Public ContactTessa Verlaan
Dept. of Gastroenterology and Hepatology/ Dept. of Surgery Academic Medical Center Amsterdam Meibergdreef 9
Outcome results
None listed