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Randomized Trial Comparing Endoscopy and Surgery for Pancreatic Cyst-Gastrostomy
This study is currently recruiting participants.
Verified by University of Alabama at Birmingham, January 2009
Sponsored by: University of Alabama at Birmingham
Information provided by: University of Alabama at Birmingham
ClinicalTrials.gov Identifier: NCT00826501
  Purpose

Patients with pancreatitis can develop inflammatory fluid collection around the pancreas called pseudocysts. Pseudocysts may cause abdominal pain when they are more than 6cm in size. These pseudocysts can be treated (drained) by surgery or by endoscopy. Both treatment options are the current standard-of-care at all institutions around the World. The aim of this study is to identify the better of the two techniques, surgery versus endoscopy, for treatment of patients with pancreatic pseudocysts. This will be done by comparing a) the treatment success rates b) quality of life of patients following treatment and c) cost associated with treatment, between both treatment modalities.


Condition Intervention
Pancreatic Pseudocysts
Procedure: Endoscopic cyst-gastrostomy
Procedure: Surgical cyst-gastrostomy

MedlinePlus related topics: Endoscopy
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study
Official Title: Randomized Trial Comparing Endoscopy and Surgery for Pancreatic Cyst-Gastrostomy

Further study details as provided by University of Alabama at Birmingham:

Primary Outcome Measures:
  • Treatment success rate defined as ability to successfully drain the pseudocyst and patient being relieved of symptoms [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Quality of Life following treatment which will be assessed on a 3-month basis for 18-months using the SF-36 questionnaire [ Time Frame: 18 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: February 2008
Estimated Study Completion Date: November 2009
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
Endoscopic cyst-gastrostomy
Procedure: Endoscopic cyst-gastrostomy
After passing a small camera into the stomach the pseudocyst will be punctured and drained into the stomach by stent placement.
2: Active Comparator
Surgical cyst-gastrostomy
Procedure: Surgical cyst-gastrostomy
After making an incision in the abdomen the pseudocyst contents will be emptied and the pseudocyst will be sutured to the stomach.

  Eligibility

Ages Eligible for Study:   19 Years to 85 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • age > 19yrs
  • able to provide informed consent
  • pancreatic pseudocyst by CT

Exclusion Criteria:

  • age < 19yrs
  • unable to consent
  • pancreatic abscess or necrosis
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00826501

Locations
United States, Alabama
University of Alabama at birmingham Recruiting
Birmingham, Alabama, United States, 35244
Contact: Shyam Varadarajulu, MD     205-934-7989     svaradarajulu@uab.edu    
Contact: John D Christein, MD     934-9086     jdc16@uab.edu    
Principal Investigator: Shyam Varadarajulu, MD            
Sponsors and Collaborators
University of Alabama at Birmingham
  More Information

Responsible Party: University of Alabama at Birmingham ( Shyam Varadarajulu )
Study ID Numbers: F080108003
Study First Received: January 20, 2009
Last Updated: January 20, 2009
ClinicalTrials.gov Identifier: NCT00826501  
Health Authority: United States: Institutional Review Board

Study placed in the following topic categories:
Digestive System Diseases
Pancreatic Cyst
Pancreatic Diseases
Pancreatic Pseudocyst
Cysts

Additional relevant MeSH terms:
Neoplasms

ClinicalTrials.gov processed this record on January 30, 2009