Status:

COMPLETED

A Randomized Controlled Trial on EGBD vs PC for Acute Cholecystitis.

Lead Sponsor:

Chinese University of Hong Kong

Collaborating Sponsors:

American Society for Gastrointestinal Endoscopy

Tokyo Medical University

Conditions:

Acute Cholecystitis

Eligibility:

All Genders

18+ years

Phase:

PHASE2

PHASE3

Brief Summary

Acute cholecystitis commonly occurs in elderly patients that are high-risk candidates for surgery. Percutaneous cholecystostomy (PC) is frequently employed for gallbladder drainage in these patients. ...

Eligibility Criteria

Inclusion

  • Consecutive patients aged ≥ 18 years old admitted for acute cholecystitis but are unsuitable for early laparoscopic cholecystectomy due to poor premorbid conditions including: American society of anesthesiology grading ≥ 3, APACHE score ≥ 12, limited life expectancy (less than 2 years) or deemed unsuitable for general anesthesia would be included.
  • Written informed consent from patient or guardian who is able to understand the nature and possible consequences of the study

Exclusion

  • Pregnancy
  • Patients unwilling to undergo follow-up assessments
  • Patients with suspected gangrene or perforation of the gallbladder
  • Patients diagnosed with concomitant liver abscess or pancreatitis (defined as elevated serum amylase more than three times the upper limit of normal)
  • Altered anatomy of the upper gastrointestinal tract due to surgery of the esophagus, stomach and duodenum
  • Patients with liver cirrhosis, portal hypertension and/or gastric varices
  • Abnormal coagulation: INR \> 1.5 and/or platelets \< 50.000/mm3
  • Previous drainage of the gallbladder

Key Trial Info

Start Date :

August 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2019

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT02212717

Start Date

August 1 2014

End Date

March 1 2019

Last Update

July 30 2019

Active Locations (4)

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Page 1 of 1 (4 locations)

1

Chinese University of Hong Kong

Hong Kong, Hong Kong, China

2

Kinki University Hospital

Osaka, Japan

3

Tokyo Medical University Hospital

Tokyo, Japan

4

University Hospital Rio Hortega

Barcelona, Spain