post-operative pancreatic fistula
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age >= 18 years. • Lesion(s) of the body and/or tail of the pancreas for which open, laparoscopic or robot-assisted distal pancreatectomy will be performed. • Signed informed consent.
Exclusion criteria
Exclusion criteria: • Hypersensitivity to BOTOX (or the components in the BOTOX formulation). • American Society of Anesthesiologists score >III. • Unable to undergo duodenoscopy (due to any anatomic condition). • Pregnancy or lactation. • Serious concomitant systemic disorders that would compromise the safety of the patient or his/her ability to complete the study, at the discretion of the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of this project is to determine the feasibility and safety of a preoperative endoscopic BOTOX injection in the sphincter of Oddi. We deem this treatment feasible in case we can complete the proposed treatment in 14 out of 15 patients without any procedure related complications. | — |
Secondary
| Measure | Time frame |
|---|---|
| As a secondary endpoint we will assess the effect of preoperative endoscopic BOTOX injection in the sphincter of Oddi on the occurrence of postoperative pancreatic fistulas. | — |
Countries
Netherlands