RecruitingNot ApplicableNCT06743516

External Pancreatic Stent in Pancreaticojejunostomy

The Impact of External Pancreatic Drainage During Pancreaticojejunostomy Following Pancreaticoduodenectomy in Cases of Soft Pancreas


Sponsor

Minia University

Enrollment

100 participants

Start Date

Jan 1, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Pancreatic fistula is one of the most serious complication after pancreatoduodenectomy. To reduce pancreatic fistula, many authors recommend pancreatic stent in pancreatojejunostomy. The purpose of this study is to determine which is the best method in preventing pancreatic fistula and to investigate its long term clinical outcomes.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria2

  • Patients undergoing pancreaticoduodenectomy (Whipple procedure) for various indications (e.g., pancreatic cancer, ampullary cancer, etc.).
  • Patients with a confirmed soft pancreas texture, as determined intraoperatively by the surgeon.

Exclusion Criteria3

  • Patients with a hard or fibrotic pancreas, as determined intraoperatively by the surgeon.
  • Patients with severe uncontrolled comorbidities (e.g., uncontrolled diabetes, severe cardiovascular disease, renal failure).
  • Pregnancy or lactation.

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Interventions

PROCEDUREPancreaticojejunostomy with external stent

Inserting ureteric stent at the pancreaticojejunostomy site

PROCEDUREPancreaticojejunostomy without external stent

Only Pancreaticojejunostomy without inserting external stent


Locations(1)

Liver and GIT hospital , Minia University

Minya, Egypt

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NCT06743516


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