To Evaluate Early (2-Week) vs. Standard (4-Week) Metal Stent Removal Following Endoscopic Ultrasound Guided WON Drainage
NCT07307248 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 408
Last updated 2026-01-28
Summary
In adults with walled-off pancreatic necrosis (WON) undergoing endoscopic ultrasound (EUS)-guided transluminal necrosectomy, does early removal of the lumen-apposing metal stent (LAMS) (at 2 weeks or immediately after the last necrosectomy) with placement of a double-pigtail plastic stent (DPT), compared to delayed LAMS removal at 4 weeks without a DPT, result in a lower rate of pancreatic fluid collection (PFC) recurrence or need for reintervention over 12 months.
Conditions
- Walled Off Necrosis
Interventions
- PROCEDURE
-
Standard LAMS Removal with Double-Pigtail Plastic Stent
In the early stent removal arm, LAMS will be removed at 2 weeks followed by placement of a double-pigtail plastic stent (DPT).
- PROCEDURE
-
Standard LAMS Removal without DPT
In the standard arm, LAMS will be removed at 4 weeks.
Sponsors & Collaborators
-
Asian Institute of Gastroenterology, India
lead OTHER
Principal Investigators
-
Deepak L Jha, (Medical Gastroenterology) · Asian Institute of Gastroenterology, Hyderabad
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-25
- Primary Completion
- 2027-12-31
- Completion
- 2028-12-31
Countries
- India
Study Locations
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