Health Condition 1: K87- Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere
Conditions
Interventions
Intervention1: Intrahepatic approach for endoscopic ultrasound guided rendezvous technique: When the standard ERCP fails, the patient who has been randomized into this arm will be taken up for the pro
Sponsors
Jayanta Samanta
Eligibility
Inclusion criteria
Inclusion criteria: Patients with naive papilla who require therapeutic ERCP Distal biliary obstruction with imaging features of intrahepatic biliary radicle dilatation Patients with difficult biliary cannulation, defined as per ESGE guidelines Informed consent for the participation in study
Exclusion criteria
Exclusion criteria: Patients with history of prior ERCP with papillary intervention Pregnant patient Hilar biliary obstruction Patients with surgically altered anatomy Patient hemodynamically unfit for endoscopic procedure Uncorrectable coagulopathy or thrombocytopenia Lack of informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Technical success of intrahepatic and extrahepatic approach for EUS-guided rendezvous techniqueTimepoint: At baseline at the end of the index procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall complication rates Duration of the procedure Total radiation exposure during the procedure Pain score assessment using VAS score Analgesic requirement for any post procedure abdominal pain Salvage PTBD (percutaneous transhepatic biliary drainage) Hospital stay Timepoint: At 2 weeks post-procedure | — |
Countries
India
Contacts
Public ContactJayanta Samanta
Postgraduate Institute of Medical Education and Research, Chandigarh
Outcome results
None listed