Health Condition 1: K839- Disease of biliary tract, unspecified Health Condition 2: K87- Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere
Conditions
Interventions
Intervention1: Endoscopic ultrasound guided rendezvous technique (EUS-RV): When standard ERCP fails, the patient randomised to this arm will be taken up for the procedure. This technique will be perfo
Sponsors
Jayanta Samanta
Eligibility
Inclusion criteria
Inclusion criteria: Patients with naive papilla who require therapeutic ERCP Benign biliary diseases Extrahepatic biliary obstruction All patients with difficult biliary cannulation during as per ESGE guidelines who have any one of the following more than 5 contact with papilla while attempting to cannulate or more than 5 minutes spent to cannulate following visualisation of the papilla Informed consent for participation in the study
Exclusion criteria
Exclusion criteria: Previously sphincteromized papilla malignant biliary obstruction Hilar block past history of post ERCP pancreatitis inadvertant pancreatic duct cannulation or contrast injection unstable clinical conditions precluding EUS or ERCP pregnant patient lack of informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the rates of post ERCP pancreatitis between the two techniquesTimepoint: Within 2 weeks post procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Technical success overall adverse events Rate of serious adverse events Post procedure asymptomatic hyperamylasemia time taken to achieve deep biliary cannulation radiation expoure hospital stay need for second salvage procedure after failure of first salvage techniqueTimepoint: within 2 weeks of post procedure within 2 weeks of post procedure within 3-5 days post procedure | — |
Countries
India
Contacts
Public ContactJayanta Samanta
Postgraduate Institute of Medical Education and Research
Outcome results
None listed