External Pancreatic Stent in Pancreaticojejunostomy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorMinia University

About this trial

Pancreatic fistula is one of the most serious complication after pancreatoduodenectomy. To reduce pancreatic fistula, many authors recommend pancreatic stent in pancreatojejunostomy. The purpose of this study is to determine which is the best method in preventing pancreatic fistula and to investigate its long term clinical outcomes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients undergoing pancreaticoduodenectomy (Whipple procedure) for various indications (e.g., pancreatic cancer, ampullary cancer, etc.).

Patients with a confirmed soft pancreas texture, as determined intraoperatively by the surgeon.

Disqualifiers

Patients with a hard or fibrotic pancreas, as determined intraoperatively by the surgeon.

Patients with severe uncontrolled comorbidities (e.g., uncontrolled diabetes, severe cardiovascular disease, renal failure).

Pregnancy or lactation.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Pancreaticojejunostomy with external stent

    Procedure/Surgery

    Inserting ureteric stent at the pancreaticojejunostomy site

  • Pancreaticojejunostomy without external stent

    Procedure/Surgery

    Only Pancreaticojejunostomy without inserting external stent

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Pancreaticojejunostomy with External stentActive comparator 1 intervention
Group B: Pancreaticojejunostomy without stentActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

evidence of pancreatic fistula

confirmed by serum and drain amylase

Time frame
within the first 7 days after surgery( first day, third day and fifth day)

Secondary outcomes

1

evidence of intra abdominal collection

confirmed by abdominal ultrasound and abdominal computed tomography

Time frame
first week, second week postoperative

Other outcomes

Sponsors and contacts

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