7 cm vs. 5 cm Pancreatic Stents for the Prevention of Post-ERCP Pancreatitis in High-risk Patients
NCT04145336 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 800
Last updated 2019-10-30
Summary
Acute pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). The incidence of post-ERCP pancreatitis (PEP) is estimated to be 10% to 15% in high-risk patients. Current guidelines recommend using pancreatic duct stent (PDS) for PEP prevention in high-risk patients, but it is not clear whether stent length will affect the effect of PEP prevention. The longer PDS will remain in the pancreatic duct for a longer period of time, thereby ensuring prolonged decompression with subsequent lowering of the risk for PEP. Findings from two retrospective studies showed that longer PDS was more effective in reducing the risk of post-ERCP hyperamylasemia and the frequency of PEP compared with the shorter PDS. We conducted this trial to test whether 7cm PDS was superior to 5cm PDS in PEP prevention in high-risk patients.
Conditions
- Post-ERCP Acute Pancreatitis
Interventions
- DEVICE
-
5cm 5-Fr PDS
High-risk patients receive 5cm 5-Fr PDS
- DEVICE
-
7cm 5-Fr PDS
High-risk patients receive 7cm 5-Fr PDS
- DRUG
-
Indomethacin
All patients without contraindications should be administrated with rectal indomethacin within 30 min before ERCP.
Sponsors & Collaborators
-
Air Force Military Medical University, China
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-10-15
- Primary Completion
- 2020-10-31
- Completion
- 2020-10-31
Countries
- China
Study Locations
More Related Trials
-
Plastic vs Biodegradable Pancreatic Stent in Post-ERCP Pancreatitis Prevention
NCT05307861 ·Status: UNKNOWN ·Phase: NA
-
Non-inferiority of Pharmacological Prevention Alone Versus Pancreatic Stents to Prevent Post-ERCP Pancreatitis
NCT02368795 ·Status: UNKNOWN ·Phase: NA
-
Early Pancreatic Duct Stent Removal in Preventing Post-endoscopic Pancreatitis
NCT01449084 ·Status: COMPLETED ·Phase: NA
-
Randomized Controlled Trial of Rectal Indomethacin Versus Combined Pancreatic Stent Placement and Rectal Indomethacin for Preventing Post-ERCP Pancreatitis
NCT05857514 ·Status: UNKNOWN ·Phase: NA
-
Epinephrine Sprayed on the Papilla for the Prevention of Post-ERCP Pancreatitis
NCT02839356 ·Status: UNKNOWN ·Phase: PHASE4
-
Prophylaxis of Post-ERCP Acute Pancreatitis
NCT05381428 ·Status: COMPLETED ·Phase: PHASE3
-
Spontaneous Dislocation and Adverse Events of a Prophylactic Pancreatic Stent
NCT07346365 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Archimedes Bio-degradable Bile Duct Stent Study
NCT04477005 ·Status: COMPLETED
-
Effect of Papillary Epinephrine Spraying on Post-ERCP Pancreatitis in Patients Received Rectal Indomethacin
NCT03057769 ·Status: TERMINATED ·Phase: NA
-
Effect of Papillary Epinephrine Spraying for the Prevention of Post-ERCP Pancreatitis in Patients Received Octreotide
NCT03756116 ·Status: UNKNOWN ·Phase: NA
-
Optimal Placement Duration of Pancreatic Duct Stent
NCT04691674 ·Status: COMPLETED ·Phase: NA
-
Pancreatic Stent to Prevent Leak After Distal Pancreatectomy
NCT00671463 ·Status: WITHDRAWN ·Phase: NA
-
Incidence, Risk Factors and Endoscopic Retrieval of Proximally Migrated Pancreatic Stents
NCT05431517 ·Status: COMPLETED
-
Early Pancreatic Stent Placement for Preventing PEP
NCT06250803 ·Status: RECRUITING ·Phase: NA
-
Sonographic Detection of Prophylactic Pancreatic Stents
NCT03649399 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Stenting for Chronic Abdominal Pain
NCT00754676 ·Status: COMPLETED
-
Preoperative Stent Study
NCT00501176 ·Status: COMPLETED ·Phase: NA
-
The Prophylactic Effect of Stilamin on Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis
NCT01431781 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of the Use of a Biodegradable Endoprothesis in the Prevention of Post-Endoscopic Retrograde CholoangioPancreatography Pancreatitis
NCT03977779 ·Status: RECRUITING ·Phase: NA
-
Post-ERCP Pancreatitis Prevention by Stent Insertion
NCT01673763 ·Status: COMPLETED ·Phase: NA
-
Rectal Indomethacin in the Prevention of Post-ERCP Pancreatitis
NCT01912716 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
A Trial of Early Percutaneous Catheter Drainage of Sterile Pancreatic Fluid Collections in Severe Acute Pancreatitis
NCT03185806 ·Status: UNKNOWN ·Phase: NA
-
Endotherapy and/or Extracorporeal Shockwave Lithotripsy for Painless Chronic Pancreatitis
NCT07074379 ·Status: RECRUITING ·Phase: NA
-
The Optimal Dose of Indomethacin Suppository for Preventing Post-ERCP Pancreatitis
NCT06031363 ·Status: COMPLETED ·Phase: NA
-
Prevention of Post-ERCP Pancreatitis by Indomethacin Vs Diclofenac
NCT05947461 ·Status: TERMINATED ·Phase: NA