RecruitingNCT06023771

Invasive Intervention of Local Complications of Acute Pancreatitis

Drainage and Debridement of Local Complications of Acute Pancreatitis: A Single-center Real-world Prospective Study


Sponsor

Peking Union Medical College Hospital

Enrollment

100 participants

Start Date

Oct 1, 2023

Study Type

OBSERVATIONAL

Conditions

Summary

Strategies for invasive intervention in acute pancreatitis include sequential or combined use of multiple drainage and debridement modalities. The more widely used is the step-up approach, which requires an individualized and multidisciplinary (internal medicine, interventional radiology, endoscopy, surgery, critical care medicine, and nutritionists) approach. The available evidence from randomized controlled studies is from highly selected subject populations, and it is unclear whether the results can be applied to complex clinical situations in real clinics, and the optimal strategy for drainage of peripancreatic lesions in different patients still needs to be evaluated in the real world. This study intends to establish a prospective single-center cohort for real-world analysis to collect comprehensive clinic information and clinical outcomes, to evaluate the effectiveness and safety of existing intervention strategies, especially the timing and modality of interventions, in real-world clinical practice, and to explore the key factors affecting patient prognosis.


Eligibility

Inclusion Criteria3

  • Admission diagnosis of acute pancreatitis;
  • Localized complications confirmed by imaging examinations;
  • Voluntary participation in the study and signing of an informed consent form.

Exclusion Criteria1

  • Improved with conservative treatment without invasive interventions for local complications during hospitalization.

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Interventions

PROCEDUREInvasive intervention for acute pancreatitis

Invasive interventions include drainage (endoscopic transmural drainage, imaging-guided percutaneous catheter drainage) and debridement (endoscopic debridement, videoscopic assisted retroperitoneal debridement, laparoscopic surgical debridement, open surgical debridement).


Locations(1)

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

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NCT06023771


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