Health Condition 1: C241- Malignant neoplasm of ampulla of Vater Health Condition 2: C250- Malignant neoplasm of head of pancreas Health Condition 3: C240- Malignant neoplasm of extrahepaticbile duct Health Condition 4: C170- Malignant neoplasm of duodenum
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Radiological, endoscopic and histopathological diagnosed case of malignant distal CBD stricture 2.Participants of both sexes age above 18 years those who are willing to give consent
Exclusion criteria
Exclusion criteria: 1.Age less than 18 years 2.Benign biliary strictures 3.Hilar (proximal) biliary obstruction 4.Previous biliary stenting 5.Altered anatomy precluding ERCP 6.Comorbidities like coronary artery disease, arrythmia, T2DM, HTN, CKD not getting anesthesia fitness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Requirements & number of re-interventions in single plastic stenting vs double plastic stenting in distal malignant CBD strictureTimepoint: From date of intervention (ERCP) till 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Technical success in 2 groups 2.Procedural time in 2 groups 3.Clinical and biochemical improvement at day 7, 14,28, at 3 month and 6 months. 4.Adverse events ERCP related complications, anesthesia related complications, cardiovascular events, Death. Timepoint: After intervention (ERCP) At day 7, 14,28, at 3 month and 6 months. | — |
Countries
India
Contacts
IPGMER SSKM HOSPITAL