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Surgical treatment of bile duct stenosis by a modified shunting of the biliary tract to the bowel with enhanced possibility to follow up and manage the shunt by the endoscope

Bilio-Entero-Gastrostomy: prospective assessment of a modified biliary reconstruction with facilitated future endoscopic access

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN10135364
Enrollment
60
Registered
2011-10-13
Start date
2008-10-01
Completion date
Unknown
Last updated
2016-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Benign biliary stricture Surgery Obstruction of bile duct

Interventions

The trial is interventional trial with single arm. All participants will have surgical bilioenteric shunt in the form of Bilio-Entero-Gastrostomy (BEG), which is a modified bilioenteric shunt that ent
I, II or III. In all types, the hepaticojejunostomy (HJ) is end to side anastomosis using interrupted sutures of polyglactin 910 of 4-0 size. The level of HJ is dependent on Bismuth classification of

Sponsors

Assiut University Hospital (Egypt)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients suffering from benign biliary stricture 2. Patients indicated for surgical intervention in the form of bilioenteric shunt

Exclusion criteria

Exclusion criteria: 1. Patients who were discovered intraoperatively or postoperatively to have malignant cause of the biliary stricture 2. Patients who died postoperatively due to non-surgical causes before performing the follow up endoscopy

Design outcomes

Primary

MeasureTime frame
Successful endoscopic access to the bilioenteric anastomosis in the fourth postoperative week with cholangiography performance.

Secondary

MeasureTime frame
1. Duration of the endoscopic procedure in minutes 2. Difficulty score to the endoscopist (score from 1-5) 3. Amount of bile in the stomach (score 0, 1, 2) 4. Efficiency of endoscopic management of biliary anastomotic stricture if encountered during follow up

Countries

Egypt

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026