Laparoscopic Cystogastrostomy Versus Endoscopic Cystogastrostomy
A Prospective Randomized Controlled Trial Comparing Laparoscopic Versus Endoscopic Drainage for Pseudocyst of the Pancreas
1 other identifier
interventional
60
1 country
1
Brief Summary
This study is a randomized controlled trial comparing Laparoscopic and endoscopic drainage for pseudocyst of the pancreas secondary to acute pancreatitis. The primary outcome measure will be resolution of the pseudocyst by the intended treatment within 4 weeks. The secondary outcomes will be complications, recurrence and cost analysis between the two methods.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started May 2010
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2010
CompletedFirst Submitted
Initial submission to the registry
July 10, 2013
CompletedFirst Posted
Study publicly available on registry
January 22, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2015
CompletedJuly 2, 2017
June 1, 2017
4.9 years
July 10, 2013
June 29, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Resolution of Pseudocyst
resolution on imaging
4 weeks
Secondary Outcomes (3)
Adverse Events
4 weeks
Cost per patient
4 weeks
Recurrence rate of pseudocyst
3 months
Study Arms (2)
Laparoscopic cystogastrostomy
ACTIVE COMPARATORLaparoscopic cystogastrostomy will be performed by using a stapled cystogastrostomy
Endoscopic cystogastrostomy
ACTIVE COMPARATOREndoscopic cystogastrostomy or cystoduodenostomy will be performed either under direct endoscopic or endosonography guidance.
Interventions
Patients undergo drainage of pseudocyst by laparoscopic technique
Endoscopic cystogastrostomy or cystoduodenostomy will be performed either under direct endoscopic or endosonography guidance
Eligibility Criteria
You may qualify if:
- Symptomatic patients with pseudocyst of size more than 6 cm, more than 6-8 weeks duration after an attack of acute pancreatitis.
You may not qualify if:
- Patients with chronic pancreatitis associated pseudocyst.
- Patients who have undergone any form of intervention previously
- Patients with significant co-morbidities
- Patients unfit for general anesthesia
- Bleeding disorders
- Patients refusing consent
- Patients having significant necrotic debris not considered fit for endoscopic drainage. The presence of necrotic debris will be assessed by ultrasound of the abdomen and if required magnetic resonance imaging. The volume of the cyst and that of necrotic debris will be calculated and significant debris will be defined as \>30% of debris volume/volume
- Presence of a pseudoaneurysm
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
All India Institute of Medical Sciences
New Delhi, National Capital Territory of Delhi, 110029, India
Related Publications (1)
Aljarabah M, Ammori BJ. Laparoscopic and endoscopic approaches for drainage of pancreatic pseudocysts: a systematic review of published series. Surg Endosc. 2007 Nov;21(11):1936-44. doi: 10.1007/s00464-007-9515-2. Epub 2007 Aug 24.
PMID: 17717626RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Virinder K Bansal, MS
All India Institute of Medical Sciences
- PRINCIPAL INVESTIGATOR
Pramod K Garg, MD
All India Institute of Medical Sciences
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Additional Professor
Study Record Dates
First Submitted
July 10, 2013
First Posted
January 22, 2014
Study Start
May 1, 2010
Primary Completion
April 1, 2015
Study Completion
November 1, 2015
Last Updated
July 2, 2017
Record last verified: 2017-06