difficult common bile duct stones
Conditions
Interventions
test group (POC group):Use of POC in the management
control group (cERCP group):conventional ERCP management
Sponsors
People's Hospital of Leshan
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: ?patients over 18 years of age;? patients with a diagnosis of difficult CBD stones established by at least one imaging study including computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP) or endoscopic ultrasound (EUS), which revealed at least one of the following items: the maximal diameter of a single stone over 1.5cm, the total number of stones exceeded 5, concomitant left or right hepatic duct stones, concomitant cystic duct stones, stricture of the common bile duct distal to the stone;?patients able to offer written informed consent.
Exclusion criteria
Exclusion criteria: ?patients with severe concomitant diseases such as heart, hepatic, renal, pulmonary insufficiency or malignancy; ?patients with a history of Billroth II or Roux-en-Y anastomosis; ? the diameter of CBD distal to stones not exceeding 4mm; ?pregnancy or lactation;?coagulopathy;? hypersensitive to any medication or instrument relevant to the trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| one-session stone clearance ;radiation exposure time;dosage area product; | — |
Secondary
| Measure | Time frame |
|---|---|
| procedure-related cost;cost-effectiveness ratio;length of hospital stay;stone occurrence rate at 6-month follow-up; | — |
Countries
China
Contacts
Public ContactYu Tang
People's Hospital of Leshan
Outcome results
None listed