About this trial
The aim of this randomized trial is to assess the efficacy of EUS-CPB in the alleviation of abdominal pain in patients with chronic pancreatitis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
Abdominal pain of at least 3 months duration and a VAS score ≥ 3, with or without the use of narcotic analgesics.
Diagnosis of chronic pancreatitis on EUS examination, with ≥ 5 features on EUS.
No other cause of abdominal pain
Disqualifiers
Age < 18 years.
History of prior EUS-CPB.
Use of anticoagulants that cannot be discontinued for the procedure.
Clinically significant allergy to bupivacaine or triamcinolone.
Trial design
Parallel
Treatments tested in this trial
EUS-guided celiac plexus block
Procedure/SurgeryUnder EUS-guidance, celiac plexus block will be performed with injection of bupivacaine and triamcinolone into the area of celiac plexus.
Sham procedure
Procedure/SurgeryCeliac plexus will not be performed in this arm.
Treatment groups
Trial outcomes
Primary outcomes
Rate of adequate pain relief
Rate of adequate pain relief in patients with chronic pancreatitis undergoing endoscopic ultrasound-guided celiac plexus block or sham procedure. Adequate pain relief is defined as a 50% reduction in composite pain score from baseline, measured using the Brief Pain Inventory-Short Form, at 1 month post-intervention.
Secondary outcomes
Technical success
Successful completion of EUS-CPB.
Pain scores measured using Visual Analog Scale.
Pain score measured using the Visual Analog Scale.
Pain scores measured using the Comprehensive Pain Assessment Tool-Short Form.
Pain score measured using the Comprehensive Pain Assessment Tool-Short Form.
Quality of life assessment
Quality of life score measured using the Pancreatitis Quality of Life Instrument.
Sponsors and contacts
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