Preoperative Endoscopic Pancreatic Stent for Distal Pancreatectomy
Preoperative Endoscopic Pancreatic Stent to Prevent Pancreatic Fistula After Distal Pancreatectomy: a Randomized Controlled Trial
Chinese University of Hong Kong
56 participants
Mar 21, 2022
INTERVENTIONAL
Conditions
Summary
Distal pancreatectomy (DP) with or without splenectomy is commonly indicated for pancreatic body or tail lesions. Postoperative pancreatic fistula (POPF) remains the commonest complication after DP. A pre-operatively placed pancreatic stent across papilla can decrease the pressure gradient between pancreatic duct and duodenum. Therefore, the pancreatic juice flow is redirected from the pancreatic transection plane and leakage from pancreatic stump is much reduced. This study aims to evaluate whether pre-operatively placed pancreatic stent can prevent POPF by a randomized controlled trial.
Eligibility
Inclusion Criteria2
- Age >18 years
- Elective distal pancreatectomy for primary pancreatic pathology
Exclusion Criteria5
- Informed consent not available
- Emergency distal pancreatectomy
- Presence of pancreatic duct stricture
- Presence of altered anatomy that precludes safe Endoscopic Retrograde Cholangiography (e.g. previous Billroth II gastrectomy)
- History of severe pancreatitis
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Interventions
Pancreatic stent of appropriate size and length is inserted to the pancreatic duct before distal pancreatectomy
No preoperative stenting with distal pancreatectomy alone
Locations(1)
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NCT05297136