Rad Predictors for WON

Washington University School of Medicine104 enrolled

Overview

This is a retrospective chart review study examining 1) demographic data such as age, sex, etiology of pancreatitis 2) clinical data including radiological characteristics of walled off pancreatic necrosis, walled off necrosis related admissions and readmission following endoscopic drainage, surgical or percutaneous procedures performed for the management of walled off pancreatic necrosis, and clinical outcomes following treatment of WON (including hospital readmissions, WON resolution, procedure complications, WON related death) 3) endoscopy data including indication for initial endoscopic drainage and subsequent endoscopic procedures performed for management of walled off necrosis (including additional EGD's, endoscopic drainage procedures, and/or necrosectomy)

Study Type

OBSERVATIONAL

Enrollment

104

Conditions

Walled Off Pancreatic Necrosis (WON)

Interventions

endoscopic drainage of walled off pancreatic necrosisPROCEDURE

transmural drainage and mechanical debridement of solid debris (necrosectomy)

Eligibility

Sex: ALLMin age: 19 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients over 18 years of age who underwent endoscopic drainage of walled off pancreatic necrosis * Patients who did not require further intervention (either surgical, percutaneous, or endoscopic) following endoscopic drainage * Patients who required further intervention for walled off pancreatic necrosis (either surgical, percutaneous, or endoscopic) following endoscopic drainage. * Patients who underwent percutaneous or surgical interventions prior to endoscopic drainage Exclusion Criteria: * Pancreatic pseudocysts without any solid debris * Under 18 years of age at the time of endoscopic drainage

Outcomes

Primary Outcomes

Identify WON imaging characteristics on cat-scan

Characteristics on cat-scan that are predictive of requiring multiple endoscopic procedures, percutaneous drainage, and/or surgical intervention for management of walled off pancreatic necrosis

Time frame: through study completion, an average of 260 days

Endoscopic course (total number and type of endoscopic treatments required for resolution of walled off necrosis, occurrence of treatment related complications)

Imaging classification method to efficiently report these imaging characteristics

Time frame: through study completion, an average of 260 days

Clinical course (number of hospital readmissions during treatment, rates of walled off necrosis resolution, rates of walled off necrosis related death)

Characteristics to develop a predictive model that will help to identify patients at high risk for requiring multiple endoscopic procedures, percutaneous drainage, and/or surgical intervention for management of walled off pancreatic necrosis.

Time frame: through study completion, an average of 260 days

Rad Predictors for WON

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes