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Registry of Patients Undergoing Endoscopic Management of Pancreatic Fluid Collections


2021-05-01


2032-12


2032-12


1000

Study Overview

Registry of Patients Undergoing Endoscopic Management of Pancreatic Fluid Collections

Acute pancreatitis is one of the most common gastrointestinal disorders requiring hospitalization worldwide. Pancreatic fluid collections can occur as a consequence of acute and chronic pancreatitis and can result in significant morbidity and mortality, including significant abdominal pain, gastric outlet obstruction, biliary obstruction, organ failure, persistent unwellness, infection and sepsis. Symptomatic pancreatic fluid collections require treatment, and endoscopic drainage is considered standard of care. The aim of this study is to evaluate the treatment outcomes in patients undergoing standard of care, endoscopic treatment of pancreatic fluid collections.

Acute pancreatitis has an annual incidence of 13-45 cases per 100,000 persons and is one of the most common gastrointestinal disorders requiring hospitalization worldwide. It leads to over a quarter of a million hospital admissions annually in the United States, and inpatient costs exceeding 2.5 billion US dollars. Pancreatic fluid collections can occur as a consequence of acute and chronic pancreatitis and can result in significant morbidity and mortality, including significant abdominal pain, gastric outlet obstruction, biliary obstruction, organ failure, persistent unwellness, infection and sepsis. Symptomatic pancreatic fluid collections require treatment, and endoscopic drainage is considered standard of care. Endoscopic treatment involves the drainage of the fluid collection into the stomach or duodenum by placement of metal or plastic stents. If clinically indicated, endoscopic necrosectomy is also performed, which is the removal of devitalized pancreatic tissue using the endoscope. Currently the treatment success rate of endoscopic treatment of pancreatic fluid collections exceeds 90%. The aim of this study is to evaluate the treatment outcomes in patients undergoing standard of care, endoscopic treatment of pancreatic fluid collections.

  • Acute Pancreatitis
  • Pancreatic Pseudocyst
  • Pancreatic Necrosis
  • PROCEDURE: Endoscopic management of pancreatic fluid collections
  • 22.060.03

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2023-12-12  

N/A  

2024-01-29  

2023-12-12  

N/A  

2024-01-31  

2023-12-21  

N/A  

2024-01  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
Primary Outcome MeasuresMeasure DescriptionTime Frame
Treatment outcomes in patients undergoing endoscopic treatment of pancreatic fluid collections.Treatment outcomes in patients undergoing endoscopic treatment of pancreatic fluid collections.3 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Treatment successRate of treatment success, defined as the resolution of pancreatic fluid collection on CT scan in association with clinical resolution of symptoms at 6-months from index intervention.6 months
Number and type of interventions performedNumber of interventions performed to achieve treatment success6 months
Need for surgical interventionNeed for any surgical intervention in patients undergoing endoscopic therapy for pancreatic fluid collections.6 months
Technical success of endoscopic interventions in pancreatic fluid collections.Technical success of endoscopic interventions in pancreatic fluid collections.6 months
Inflammatory response and organ failure in patients undergoing endoscopic therapy for pancreatic fluid collections.Rate of inflammatory response and organ failure in patients undergoing endoscopic therapy for pancreatic fluid collections.6 months
Disease-related adverse eventsRate of disease-related adverse events6 monthts
Procedure-related adverse eventsProcedure-related adverse events in patients undergoing endoscopic management of pancreatic fluid collection6 months
Incidence of disconnected pancreatic duct syndrome and sequelae of disconnected pancreatic duct syndromeIncidence of disconnected pancreatic duct syndrome and sequelae of disconnected pancreatic duct syndrome3 years
Hospital admissionRate of hospital readmissions due to disease-related or procedure-related events in patients undergoing endoscopic therapy for pancreatic fluid collections.6 months
Disease recurrenceRate of disease recurrence in patients undergoing endoscopic management of pancreatic fluid collections3 years
DiabetesRate of diabetes3 years
Exocrine pancreatic insufficiencyRate of exocrine pancreatic insufficiency3 years
Timing of interventionIntervention at 4 weeks since onset of pancreatitis (traditional approach) versus intervention when the area of necrosis is contained or only partially encapsulated.6 months

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Ji Young Bang

Phone Number: 321-841-2431

Email: jiyoung.bang@orlandohealth.com

Study Contact Backup

Name: Barbara J Broome

Phone Number: 321-841-4356

Email: barbara.broome@orlandohealth.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Age ≥ 18 years
  • All patients undergoing endoscopic treatment of pancreatic fluid collections

  • Exclusion Criteria:

  • Age < 18 years
  • Patients who did not receive endoscopic treatment of pancreatic fluid collections

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • PRINCIPAL_INVESTIGATOR: Ji Young Bang, MD MPH, Orlando Health, Digestive Health Institute

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available