Establishing a Sonographic Based Algorithm to Verify Pancreatic Stent Position Placed to Prevent Post-ERCP Pancreatitis Before Endoscopic Removal

  • STATUS
    Recruiting
  • End date
    Aug 30, 2023
  • participants needed
    88
  • sponsor
    Johann Wolfgang Goethe University Hospital
Updated on 4 October 2022

Summary

The present study is a prospective, single-center study. A total of 88 patients, who had placed a pancreatic stent for preventing post-ERCP pancreatitis, will be included in the study. Aim of the study is to establish a new algorithm based on a sonographic approach to remove the placed pancreatic stents. Another aim is to compare high-end sonographic devices with devices of medium price scale one's used on the ward.

On the day of removal of the pancreatic stent, all patients receive a sonography by an experienced investigator on the ward and by another, uninformed investigator with a high-end device. If a pancreatic stent is visualized in the pancreatic duct, the patient will have an esophagogastroduodenoscopy to remove the pancreatic stent. If sonography cannot find a pancreatic stent in the pancreatic duct an x-ray will be performed as suggested by the European and international guidelines. If the pancreatic stent spontaneously dislocated into the small bowel tract according to x-ray, no further investigation will be performed. If a stent is visulized in situ by x-ray, it will be removed by endoscopyl.

Statistical analysis will be done in cooperation with the statistical biomedical institute oft he university hospital in Frankfurt.

Details
Condition Post-ERCP Acute Pancreatitis, Pancreatic Stent, Ultrasound, X-rays
Treatment Sonographic based visualization of a pancreatic stent
Clinical Study IdentifierNCT04546867
SponsorJohann Wolfgang Goethe University Hospital
Last Modified on4 October 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

placement of prophylactic pancreatic stent to prevent post-ERCP-pancreatitis
age of at least 18 years
written informed consent

Exclusion Criteria

diseases that prevent sonography, x-ray or esophagogastroduodenoscopy
no given consent
other indication for pancreatic stenting
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