Refractory benign biliary obstruction in patients with surgically altered anatomy.
Conditions
Interventions
Treatment group:Firstly, a temporally fistula is created under EUS guidance between the stomach and the biliary tract. The left lobe of the liver was carefully examined using EUS for evaluating the ac
Sponsors
Shanghai General Hospital, Shanghai Jiao Tong University
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: Patients must meet all of the following inclusion criteria to be eligible for inclusion in the study: 1. Aged between 18 and 90 years old; 2. A refractory biliary benign obstruction confirmed by clinical and image examination in patients with surgically altered anatomy; 3.Standard ERCP, colonoscopy-assisted or enteroscopy-assisted ERCP failed; 4. Informed consent of the patient's family to participate in the study and consent to participate in the study. *Refractory biliary benign obstruction is defined as follows: standard ERCP fails due to challenging common bile duct stones (=1.5cm), or severe stenosis of a choledochojejunal anastomosis.
Exclusion criteria
Exclusion criteria: Patients who meet any of the following criteria will not be included in the study; 1. Those who cannot tolerate endoscopy; 2. Patients with endoscopy or anesthesia contraindications; 3. Coagulation dysfunction; 4. Under 18 years old or over 90 years old; 5. Join other clinical trials 3 months before onset; 6. Pregnant or lactating women; 7. Refusing to participate in clinical research; 8. Patients with serious postoperative complications such as abdominal infections, abscesses, or massive ascites.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of adverse events; | — |
Secondary
| Measure | Time frame |
|---|---|
| Treatment effectiveness (clinical success rate and technical success rate);Operation time;Duration of biliary drainage patency; | — |
Countries
China
Contacts
Public ContactBaiwen Li
Shanghai General Hospital, Shanghai Jiao Tong University
Outcome results
None listed