Comparing Outcome of Thoracocentesis and Pigtail Catheter Drainage in Treatment of Patients With Hepatic Hydrothorax

NCT ID: NCT06319547

Last Updated: 2024-03-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-20

Study Completion Date

2025-03-31

Brief Summary

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Hepatic hydrothorax (HH) is a pleural effusion that develops in a patient with cirrhosis and portal hypertension in the absence of cardiopulmonary disease (Lv et al., 2018). Several factors are known to contribute to the development of effusion; the most accepted mechanism of which is the direct delivery of ascitic fluid from the peritoneal cavity to the pleural cavity by "positive" intra-abdominal pressure and a "negative" intrathoracic pressure of the pleural cavity through microscopic congenital diaphragmatic defects (Han et al., 2022).

Detailed Description

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Conditions

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Hepatic Hydrothorax

Study Design

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Allocation Method

NA

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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hepatic hydrothorax

patient with hepatic hydrothorax that develop pleural effusion either unilateral or bilateral

Group Type EXPERIMENTAL

Thoracocentasis

Intervention Type PROCEDURE

patients will be submitted to diagnostic pleural fluid study, chest x-ray, liver function and blood picture

Interventions

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Thoracocentasis

patients will be submitted to diagnostic pleural fluid study, chest x-ray, liver function and blood picture

Intervention Type PROCEDURE

Other Intervention Names

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Pigtail Catheter drainage

Eligibility Criteria

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Inclusion Criteria

* Liver cirrhosis (with or without hepatocellular carcinoma).
* Hepatic hydrothorax (bilateral or unilateral).

Exclusion Criteria

* patients with a pleural effusion due to a condition other than HH.
* who had a diagnosis of tuberculosis pleurisy, parapneumonic effusion, inflammatory pleuritis, other neoplasms, and congestive heart failure.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sohag University

OTHER

Sponsor Role lead

Responsible Party

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Aya Ashraf Abdelkareem

Resident of Tropical medicine and gastroenterology department, Sohag University Hospitals

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sohag University hospitals

Sohag, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Aya A AbdElkareem, Resident

Role: CONTACT

01060342951

Khairy H Morsy, Professor

Role: CONTACT

Facility Contacts

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Magdy M Amin, Professor

Role: primary

References

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Chaaban T, Kanj N, Bou Akl I. Hepatic Hydrothorax: An Updated Review on a Challenging Disease. Lung. 2019 Aug;197(4):399-405. doi: 10.1007/s00408-019-00231-6. Epub 2019 May 25.

Reference Type BACKGROUND
PMID: 31129701 (View on PubMed)

Gilbert CR, Shojaee S, Maldonado F, Yarmus LB, Bedawi E, Feller-Kopman D, Rahman NM, Akulian JA, Gorden JA. Pleural Interventions in the Management of Hepatic Hydrothorax. Chest. 2022 Jan;161(1):276-283. doi: 10.1016/j.chest.2021.08.043. Epub 2021 Aug 12.

Reference Type BACKGROUND
PMID: 34390708 (View on PubMed)

Avula A, Acharya S, Anwar S, Narula N, Chalhoub M, Maroun R, Thapa S, Friedman Y. Indwelling Pleural Catheter (IPC) for the Management of Hepatic Hydrothorax: The Known and the Unknown. J Bronchology Interv Pulmonol. 2022 Jul 1;29(3):179-185. doi: 10.1097/LBR.0000000000000823. Epub 2021 Nov 10.

Reference Type BACKGROUND
PMID: 34753862 (View on PubMed)

Liu WL, Kuo PH, Ku SC, Huang PM, Yang PC. Impact of therapeutic interventions on survival of patients with hepatic hydrothorax. J Formos Med Assoc. 2010 Aug;109(8):582-8. doi: 10.1016/S0929-6646(10)60095-2.

Reference Type BACKGROUND
PMID: 20708509 (View on PubMed)

Other Identifiers

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Soh-Med-24-02-07MS

Identifier Type: -

Identifier Source: org_study_id

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