Malignant Extrahepatic Bile Duct Obstruction
Conditions
Interventions
Two groups:Metal Stents Placed Aboved the Sphincter of Oddi and Metal Stents Across the Sphincter of Oddi
Sponsors
Department of gastroenterology of General Hospital of Chinese People's Liberation Army
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. To be with inoperable and/or unresectable malignant extrahepatic bile duct obstruction; 2. Be older than 18 year; 3. To be with bile duct or gallbladder cancer invading CBD or distal CHD; 4. To be with pancreatic cancer with mid or distal CBD invasion; 5. The cancer should be 2 cm apart from bifurcation and 2 cm apart from ampulla of Vater or Gastrointestinal cancer with hilar lymph node metastasis; 6. Without liver metastasis; First attempt of endoscopic biliary metallic or plastic stenting; 7. Not experinced biliary tract surgery; 8. Life expectancy at least longer than 4 months (Karnofsky score >60%).
Exclusion criteria
Exclusion criteria: 1. Ampullary cancer; 2. Klatskin tumor; 3. Combined intrahepatic bile duct cancer; 4. Patient with hemobilia; history of biliary drainage (endoscopic, percutaneous, surgical) except plastic stent or endoscopic nasobiliary drainage smaller than 7 Fr within 5 day.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patency of stent;Frequency of cholangitis; | — |
Countries
China
Contacts
Public ContactEnqiang Linghu
Outcome results
None listed