ENDOSCOPIC ULTRASONOGRAPHY Clinical Trial
— BFMSPOfficial title:
COMPARISON OF OUTCOMES OF BI-FLANGED METAL STENT ALONE VERSUS BI-FLANGED METAL STENT WITH CO-AXIAL PLASTIC STENT FOR DRAINAGE OF WALLED-OFF PANCREATIC NECROSIS
Verified date | February 2023 |
Source | Asian Institute of Gastroenterology, India |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Endoscopic ultrasound guided drainage of WON with metal stent is the mainstay of WON management. But there are few complications related to BFMS , like bleeding due to vessel erosion, stent clogging , stent migration . This study is to assess, whether placing an anchoring DPS through the BFMS will decrease adverse events or not. There are only 2 retrospective studies till date ,comparing LAMS with coaxial stent vs LAMS alone. one study showed no significant decrease in adverse events , one study showed decrease in adverse events when DPS with LAMS . But there has been no prospective RCT to assess the utility of DPS to date
Status | Completed |
Enrollment | 76 |
Est. completion date | December 20, 2022 |
Est. primary completion date | October 22, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: 1. Symptomatic Walled-off pancreatic necrosis (WON) 2. Eligible for EUS guided BFMS placement 3. Signed informed consent . 4. Age >18 Years Exclusion Criteria: 1. Types of pancreatic collections other than WON . 2. Drainage with stents other than BFMS 3. Previous attempts at drainage of WON 4. Coagulopathy (INR>1.5) or thrombocytopenia(plc <50000/cmm)- not correctable. 5. Pregnancy 6. Not willing to give informed consent |
Country | Name | City | State |
---|---|---|---|
India | Dr Rajesh Gupta | Hyderabad | Telangana |
Lead Sponsor | Collaborator |
---|---|
Asian Institute of Gastroenterology, India |
India,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Adverse evens rates associated with both the groups ( stent clogging and stent migration, bleeding). | To monitor the adverse events like bleeding, stent clogging and stent migration. | 4 weeks | |
Secondary | re-intervention rates | Number of sessions of Direct Endoscopic necrosectomy and De clogging of stent | 4 weeks | |
Secondary | Technical success rate | Deployment of Stent | 4 weeks | |
Secondary | Clinical success rate | Resolution of symptoms Resolution of size of walled of necrosis | 4 weeks |
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