Complication of Treatment Clinical Trial
Official title:
Effectiveness of Endoscopic Papillectomy With Stent Placement in Pancreatic and Bile Ducts for Treating Duodenal Papillary Adenoma
This is a retrospective study, including 79 patients with duodenal papillary adenoma, who treated with Endoscopic Papillectomy (EP) at Beijing friendship hospital. The cohort included patients who underwent EP with or without Pancreatic Duct (PD) and Common Bile Duct (CBD) stent placement. The investigators assessed the outcomes of EP and the impact of stent placement on complications and recurrence rates.
Duodenal papillary adenoma, a potentially malignant benign tumor is primarily treated with endoscopic papillectomy. Despite its efficacy, endoscopic papillectomy has a high complication rate. This study investigates whether pancreatic duct and common bile duct stent placement can mitigate these complications. In a retrospective analysis, 79 patients with duodenal papillary adenoma, treated with endoscopic papillectomy at our center, were studied. The cohort included patients who underwent endoscopic papillectomy with no stents placement, common bile duct stent placement alone, pancreatic duct stent placement alone, or stents placement in both ducts. Complete resection rates did not significantly differ between patients with or without stent placement. Early complication rates were similar across groups. However, significant reduction in common bile duct stenosis was observed in the stenting group. Furthermore, stent placement correlated with lower adenoma recurrence rates during follow-up. Thus, Pancreatic duct and common bile duct stent placement in endoscopic papillectomy may decrease late complications, particularly common bile duct stenosis, and reduce the recurrence of duodenal papillary adenoma. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT04615065 -
Acutelines: a Large Data-/Biobank of Acute and Emergency Medicine
|
||
| Completed |
NCT03677765 -
Comparisons of Complications Related to Two Approaches of Ultrasonography-guided Subclavian Venous Catheterization
|
N/A | |
| Recruiting |
NCT04249921 -
Evaluation of Acupuncture Effects for Complications After Surgery of Cerebellopontine Angle Tumor in Skull Base
|
||
| Completed |
NCT04039360 -
SEMS Placement Followed by Chemotherapy and Surgery for Obstructing Left-sided Colonic Cancer
|
||
| Completed |
NCT05238506 -
Lidocaine VS Hemodynamic, Metabolic and Hormonal Response
|
Phase 4 | |
| Recruiting |
NCT05429060 -
A Prospective Evaluation of Hemorrhoidal Surgery Outcome in Istanbul
|
||
| Enrolling by invitation |
NCT05725967 -
Endoscopic Metabolic and Bariatric Therapies
|
||
| Completed |
NCT05892367 -
Transbrachial Access for Interventions in Patients With Peripheral Arterial Occlusive Disease
|
N/A | |
| Recruiting |
NCT05195697 -
ACUTE-Acute Surgical Care- Risk Factors and Outcomes for Patients in Need of Acute Surgical Care
|
||
| Completed |
NCT03061370 -
Sarcopenia and Visceral Obesity in Esophageal and Gastric Cancer
|
||
| Not yet recruiting |
NCT05708651 -
Evaluation of Medical Device for Airway Patency During Sedation (SW01-2022)
|
N/A | |
| Completed |
NCT05903326 -
Dexmedetomidine as a Sole Premedication for BMT Placement
|
||
| Completed |
NCT04411459 -
Risk Factors for Prolonged Invasive Mechanical Ventilation in COVID-19 Acute Respiratory Distress Syndrome
|
||
| Recruiting |
NCT05886127 -
Treatment of Postsphincterotomy Bleeding With a Novel Self-assembling Peptide Hemostatic Gel.
|
||
| Completed |
NCT04432740 -
A Novel Splint Technique for Distal Radius Treatment
|
N/A |