Endoscopic Large Caliber Drainage vs. Complete Necrosectomy for Treatment of Walled-off Pancreatic Necrosis
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Gastrointestinal |
| Therapuetic Areas: | Gastroenterology |
| Healthy: | No |
| Age Range: | 18 - 60 |
| Updated: | 1/6/2019 |
| Start Date: | February 2019 |
| End Date: | December 2020 |
Endoscopic Large Caliber Drainage vs. Complete Necrosectomy for Treatment of Walled-off Pancreatic Necrosis: A Prospective, Randomized Noninferiority Trial.
The purpose of this study is to determine optimal treatment strategies for symptomatic
walled-off pancreatic necrosis( WON).
walled-off pancreatic necrosis( WON).
Inclusion Criteria:
- Adult (> 18 yo) patients
- With symptomatic walled- off pancreatic necrosis in which an endoscopic approach is
appropriate based on cross-sectional imaging
- Must have solid necrotic material present in their pancreatic fluid collection as
determined by MRI, EUS, or direct transluminal endoscopic imaging of the collection
Exclusion Criteria:
- Previous intervention for pancreatic necrosis (surgical, percutaneous, or endoscopic)
- Indication for emergency laparotomy (compartment syndrome, bowel ischemia, bleeding,
or perforation of a GI lumen)
- Uncorrectable coagulopathy.
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