obstructive jaundice, acute cholangitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The patient by whom consent is got in written form from the person himself or herself about participation of the this examination. A case which needs biliary tract drainage for obstructive jaundice and acute cholangitis. A case which reveals a bile cholestasis although there is no jaundice.
Exclusion criteria
Exclusion criteria: Less than 20 years old. A case with a pregnant woman, a nursing mother or the possibility of pregnancy. The past history of endoscopic biliary sphincterotomy or endoscopic papillary balloon dilatation. A case with more than 3 times of the normal upper limit of serum pancreatic enzyme level before ERCP. Acute pancreatitis. Sphincter of Oddi dysfunction. Pancreas divisum or malformation of pancreaticobiliary ducts. A case that an endoscope can not reach at the duodenal papilla. The past history of the upper gastrointestinal tract rebuilding operation except billoth 1. A case undergoing endoscopic biliary sphincterotomy or endoscopic papillary balloon dilatation. A case of placing other endoprosthesis. A case of placing multiple endoprosthesis. Liver cirrhosis. Undergoing drainage for right bile duct Allergy for polyurethane or ERCP contrast medium.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical efficacy of 4 Fr ENBD for obstructive jaundice and acute cholangitis | — |
Secondary
| Measure | Time frame |
|---|---|
| the VAS discomfort score, the rate of spontaneous catheter displacement, reduction effect of incidence of acute pancreatitis for naive papilla. | — |
Countries
Japan
Contacts
Hiroshima University Hospital Department of Gastroenterology and Metabolism