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Pancreatic Stent to Prevent Leak After Distal Pancreatectomy (LEAPS)

This study is enrolling participants by invitation only.
Study NCT00671463.   Last updated on May 2, 2008.   Information provided by Massachusetts General Hospital

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Descriptive Information Fields
Brief Title  Pancreatic Stent to Prevent Leak After Distal Pancreatectomy
Official Title  Leak Elimination After Pancreatic Stenting, a Randomized Controlled Trial
Brief Summary

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.

Detailed Description
Study Phase
Study Type  Interventional
Study Design  Prevention, Randomized, Single Blind (Outcomes Assessor), Active Control, Parallel Assignment
Primary Outcome Measure  Pancreatic leak [ Time Frame: Post-operative day 3 ] [ Designated as safety issue: No ]
Secondary Outcome Measure  Peritoneal fluid analysis [ Time Frame: Daily ] [ Designated as safety issue: No ]
Serum biochemical analysis [ Time Frame: Daily ] [ Designated as safety issue: No ]
Clinical outcomes [ Time Frame: Daily ] [ Designated as safety issue: No ]
Condition  Pancreatic Surgery
Pancreatic Duct Stenting
Pancreatic Cancer
Distal Pancreatectomy
Pancreatic Diseases
Pancreatic Cyst
Pancreatic Ducts
Intervention  Procedure: Pancreatic duct stenting
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Enrolling by invitation
Enrollment  80
Start Date  April 2008
Completion Date
Eligibility Criteria 

Inclusion Criteria:

  • Adult patients (greater than or equal to 18 years of age)
  • Scheduled to undergo an elective laparoscopic or open distal pancreatectomy
  • Willing to undergo pre-operative endoscopy
  • Consenting to the procedure

Exclusion Criteria:

  • Contraindication to abdominal surgery
  • Contraindication to general anesthesia or distal pancreatectomy
  • Contraindication to upper endoscopy or ERCP
  • Prior history of gastric bypass or other abdominal surgery in whom the ampulla will not be accessible via routine ERCP
  • Ongoing pancreatitis
  • Pancreatic necrosis or abscess
  • History of sphincter of Oddi dysfunction
  • History of ERCP-induced pancreatitis
Gender Both
Ages 18 Years and older
Accepts Healthy Volunteers No
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00671463
Organization ID 2007P000965
Secondary IDs ††
Study Sponsor  Massachusetts General Hospital
Collaborators †† American Society for Gastrointestinal Endoscopy
Investigators 
Study Director:     Field F Willingham, MD, MPH     MGH    
Study Director:     Denise W Gee, MD     MGH    
Study Director:     Sevdenur Cizginer, MD     MGH    
Principal Investigator:     David W Rattner, MD     MGH    
Principal Investigator:     William R Brugge, MD     MGH    
Information Provided By Massachusetts General Hospital
Verification Date May 2008
First Received Date  May 1, 2008
Last Updated Date May 2, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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