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Anticipated high risk of pancreatitis
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| Name | Class |
|---|---|
| American Society for Gastrointestinal Endoscopy | OTHER |
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The purpose of this study is to investigate an intervention to prevent complications after pancreas surgery. The goal is to determine if placing a stent into the pancreatic duct before surgery will decrease or prevent leaking from the pancreatic duct after surgery. Leaks are common after pancreas surgery and can result in serious problems and post-operative pain. The study will compare two groups. One group will have the stent before surgery, and the other group will have standard pancreas surgery, no endoscopy, and no stent.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Pre-operative pancreatic duct stenting |
|
| 2 | No Intervention | Control group, no endoscopy and no stent pre-operatively |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pancreatic duct stenting | Procedure | In the treatment arm, patients will have a pancreatic duct stent placed prior to having their distal pancreatectomy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pancreatic leak | Post-operative day 3 |
| Measure | Description | Time Frame |
|---|---|---|
| Peritoneal fluid analysis | Daily | |
| Serum biochemical analysis | Daily | |
| Clinical outcomes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Field F Willingham, MD, MPH | MGH | Study Director |
| Denise W Gee, MD | MGH | Study Director |
| Sevdenur Cizginer, MD | MGH | Study Director |
| David W Rattner, MD | MGH | Principal Investigator |
| William R Brugge, MD | MGH | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
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| ID | Term |
|---|---|
| D010190 | Pancreatic Neoplasms |
| D010182 | Pancreatic Diseases |
| D010181 | Pancreatic Cyst |
| D007516 | Adenoma, Islet Cell |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
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| Daily |
| D004066 |
| Digestive System Diseases |
| D004700 | Endocrine System Diseases |
| D003560 | Cysts |
| D000236 | Adenoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |