Endoscopic Sphincterotomy vs. Balloon Dilation for Assessment of Pancreatitis
NCT02346448 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 600
Last updated 2019-02-12
Summary
One of the major elements of successful endoscopic retrograde cholangiopancreatography ( ERCP) is the timely and uncomplicated cannulation of the common bile duct (CBD) . Various factors may adversely affect the cannulation procedure of the CBD leading to complications (acute pancreatitis after ERCP, perforation of the duodenum , bleeding ). Endoscopic sphincterotomy is frequently required for interventional procedures (eg stone extraction). During sphincterotomy, incision of the orifice of the papilla will be performed by using a sphincterotome. Complications due to sphincterotomy are known: Bleeding, increased rates of acute pancreatitis, small bowel perforation and scarring with consecutive stenosis of the papilla. As an alternative to sphincterotomy, balloon dilatation using balloon catheters can be performed. As a result, bleeding complications and scarring as late effects might be prevented. Current data is limited in terms of the risk of acute pancreatitis after ERCP when using a balloon catheter.
This study aims to evaluate the incidence of acute pancreatitis and other complications after ERCP. Balloon dilatation of the papilla will be prospectively compared with endoscopic sphincterotomy in a randomized multicenter setting.
Conditions
Interventions
- PROCEDURE
-
endoscopic sphincterotomy
sphincterotomy during ERCP
- PROCEDURE
-
balloon dilatation for 3 minutes
balloon dilatation during ERCP using 10mm balloon
- PROCEDURE
-
balloon dilatation for 6 minutes
balloon dilatation during ERCP using 10mm balloon
Sponsors & Collaborators
-
Helios Albert-Schweitzer-Klinik Northeim
lead OTHER
Principal Investigators
-
Tobias Meister, PDDr.med. · Helios Albert-Schweitzer-Hospital
-
Volker Ellenrieder, ProfDr.med. · University Medical Center Göttingen
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-02-28
- Primary Completion
- 2019-12-31
- Completion
- 2020-12-31
Countries
- Germany
Study Locations
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