RecruitingNot ApplicableNCT07395778

Nasojejunal Feeding Versus Oral Feeding Following Endoscopic Drainage of Walled Off Pancreatic Necrosis

Nasojejunal Feeding Versus Oral Feeding Following Endoscopic Drainage of Walled Off Pancreatic Necrosis: A Randomized Controlled Pilot Study

Sponsor

Post Graduate Institute of Medical Education and Research, Chandigarh

Enrollment

50 participants

Start Date

Oct 18, 2025

Study Type

INTERVENTIONAL

Conditions

Acute Pancreatitis (AP)Walled Off Pancreatic Necrosis Endoscopic Ultrasound-Guided Drainage

Summary

The goal of this randomized control trial is to assess whether nasojejunal feed is better than oral nutrition in patients who are undergoing endoscopic cystogastrostomy of walled off necrosis following acute pancreatitis. It will also try to answer, the incidence of infections and feed tolerance. The main question it tries to answer is 1. whether nasojejunl feed is better than oral feed in patients undergoing endoscopic cystogastrostomy in walled off necrosis following acute pancreatitis 2. How much infections they develop, whether they are able to tolerate the feed, weight gain and reintervention rates in each group

Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria3

Patients of acute pancreatitis (AP) with 18-75 years of age
Patients with symptomatic WON requiring EUS guided transluminal drainage
Provision of written informed consent

Exclusion Criteria8

Patients with collection not amenable for EUS guided drainage (distance of WON >1 cm from the gastrointestinal lumen)
Known malignancy or immunocompromised state
Previous upper gastrointestinal(GI) surgery interfering with absorption
Active GI bleeding
GI obstruction, ileus or persistent vomiting
Patients moribund to undergo endoscopic procedure (Glasgow coma scale <8 or patients on ventilatory support)
Patients with irreversible coagulopathy like platelets <50,000/mm3 and/or INR>1.5
Pregnant or lactating female