Status:

RECRUITING

INtraoperative Approach With Eventual Clearance of Common bilE Duct by SpyGlass Discover vs Sequential Strategy in Patients With Acute Calculus Cholecystitis and Intermediate/High Risk of Common BiLE Duct Stone

Lead Sponsor:

Fondazione IRCCS Policlinico San Matteo di Pavia

Conditions:

Acute Calculous Cholecystitiis (ACC)

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

INACCESSIBLE trial is a randomized controlled study that compares two different strategies for the treatment of Acute Calculous Cholecystitiis (ACC) patients with high/intermediate risk of CBDS, accor...

Eligibility Criteria

Inclusion

  • have a diagnosis of ACC as defined by 2018 Tokyo Guidelines criteria
  • have an Israelian Score (IS) for the risk of main bile duct stones of 2 or 3
  • be \>18 years old
  • onset of symptoms ≤7 days before Emergency Department (ED) admission
  • provide signed and dated informed consent form
  • be willing to comply with all study procedures and be available for the duration of the study.

Exclusion

  • Pregnancy
  • Patients unwilling to undergo follow-up assessments
  • Patients diagnosed with concomitant cholangitis or pancreatitis
  • Acute cholecystitis not related to a gallstone etiology
  • Onset of symptoms \>7 days before ED admission
  • Altered anatomy of the upper gastrointestinal tract due to surgery of the esophagus, stomach and duodenum
  • Biliary peritonitis

Key Trial Info

Start Date :

February 18 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 30 2025

Estimated Enrollment :

62 Patients enrolled

Trial Details

Trial ID

NCT06918626

Start Date

February 18 2024

End Date

November 30 2025

Last Update

April 9 2025

Active Locations (1)

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1

Fondazione IRCCS Policlinico San Matteo

Pavia, Pavia, Italy, 27100