Invasive Intervention of Local Complications of Acute Pancreatitis
Drainage and Debridement of Local Complications of Acute Pancreatitis: A Single-center Real-world Prospective Study
Peking Union Medical College Hospital
100 participants
Oct 1, 2023
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
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)
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NCT06023771