Late Phase Acute Pancreatitis: a Tailored Step-up Approach
NCT04870268 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 47
Last updated 2021-05-03
Summary
Several interventional and surgical procedures are available to treat moderate-to-critical acute pancreatitis (AP) in its late phase. The ongoing debate on these options, together with the scarcity of reported mid-term follow-up information in the Literature, prompted the investigators to conduct a review of our surgical experience, focused on those issues. The investigators reviewed retrospectively all the patients treated for moderate-to-critical AP according to Determinant-Based Classification (DBC), in the last nine years. Patients treated conservatively or operated within 4 weeks of the onset of the pancreatitis were excluded. All the included patients were managed following a "tailored" step-up approach, and divided into four groups, according to the first interventional procedure performed: percutaneous drainage (PD), endoscopic approach (END), internal derivation (INT), and necrosectomy (NE). In-hospital and mid-term follow-up variables, including a quality-of-life assessment, were analyzed and compared.
Conditions
Interventions
- PROCEDURE
-
percutaneous drainage
- PROCEDURE
-
endoscopic approach
- PROCEDURE
-
surgical internal derivation of WON
- PROCEDURE
-
surgical necrosectomy
Sponsors & Collaborators
-
University of Pisa
lead OTHER
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-01-31
- Primary Completion
- 2020-04-30
- Completion
- 2021-01-01
More Related Trials
-
Early Versus Standard Endoscopic Interventions for Peripancreatic Fluid Collections
NCT05281458 ·Status: UNKNOWN ·Phase: NA
-
Clinical and Economic Validation of the ISGPS Definition of PPAP
NCT05680623 ·Status: COMPLETED
-
Home Monitoring Vs. Hospitalization for Mild Acute Pancreatitis
NCT05473260 ·Status: UNKNOWN ·Phase: NA
-
Surgical Versus Percutaneous Drainage in the Management of High Grade Pancreatic Trauma
NCT04335474 ·Status: UNKNOWN
-
Laparotomy Versus Percutaneous Puncture in Patients With Abdominal Compartment Syndrome During Acute Pancreatitis
NCT00793715 ·Status: UNKNOWN ·Phase: NA
-
Invasive Intervention of Local Complications of Acute Pancreatitis
NCT06023771 ·Status: RECRUITING
-
Perform Necrotic Cavity Lavage or Not After Debridement of Infected Pancreatic Necrosis
NCT04275466 ·Status: UNKNOWN ·Phase: NA
-
Surgical Outcome and Differences on Histopathology in Patients With Alcoholic & Non Alcoholic Chronic Pancreatitis
NCT02048267 ·Status: COMPLETED
-
Immediate vs. On-demand Endoscopic Necrosectomy in Infected Walled-off Pancreatic Necrosis
NCT05530772 ·Status: COMPLETED ·Phase: NA
-
Identifing Risk Factors for Pancreaticojejunostomy Leakage Following Pancreaticoduodenectomy
NCT04798560 ·Status: UNKNOWN
-
Laparoscopic Pancreatoduodenectomy Versus Open Pancreatoduodenectomy
NCT05520606 ·Status: COMPLETED
-
Epinephrine Sprayed on the Papilla for the Prevention of Post-ERCP Pancreatitis
NCT02839356 ·Status: UNKNOWN ·Phase: PHASE4
-
Evidence Based Management of Acute Biliary Pancreatitis
NCT04615702 ·Status: COMPLETED
-
Cortisone Treatment for the Prevention of Postoperative Pancreatitis and Pancreatitis-induced Complications After Pancreaticoduodenectomy and Distal Pancreatic Resection
NCT01460615 ·Status: COMPLETED ·Phase: PHASE2
-
A Modified Omental Patch Work Decreases Pancreatic Fistula After Lpd
NCT04704882 ·Status: UNKNOWN ·Phase: NA
-
Postoperative Comput Tomography as a Predictor of Postoperative Complications After Pancreatic Surgery
NCT02814812 ·Status: COMPLETED ·Phase: NA
-
Minimally Invasive Pancreatico-duodenectomy
NCT02807701 ·Status: COMPLETED ·Phase: NA
-
Acute Biliary Pancreatitis - Optimal Time for Cholecystectomy
NCT03085407 ·Status: COMPLETED ·Phase: NA
-
Preventing Postoperative Complications in Patients Undergoing High-risk Pancreatoduodenectomy With a Bundle Approach Including Hydrocortisone, Octreotide, and the Teres Ligament Patch (PANENCA)
NCT07262957 ·Status: RECRUITING ·Phase: PHASE4
-
Randomized Trial of Early Versus Standard Drainage Removal After Pancreatic Resections
NCT00931554 ·Status: COMPLETED ·Phase: NA
-
Activated Protein C in Severe Acute Pancreatitis
NCT01017107 ·Status: COMPLETED ·Phase: PHASE4
-
Enhanced Recovery in Acute Pancreatitis
NCT02813876 ·Status: COMPLETED ·Phase: PHASE2
-
Effects of High FIO2 on Post-ERCP Pancreatitis.
NCT04876768 ·Status: COMPLETED ·Phase: NA
-
Prediction of PEP Based on the Appearance of the Major Duodenal Papilla
NCT05800626 ·Status: RECRUITING
-
he Safety Research of Timing of the Removal of Abdominal Drains After Pancreatic Surgery
NCT04892615 ·Status: UNKNOWN