Benign biliary stricture and benign pancreatic stricture
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Benign biliary stricture and benign pancreatic stricture (post-operative biliary stricture, post-liver transplantation bilio-biliary anastomotic stricture, biliary stricture by chronic pancreatitis, pancreatic stricture by chroninc pancreatitis, anastomotic stricture after choledochojejunostomy, and anastomotic stricture after pancreaticojejunostomy). 2. Patients with refractory stricture. (Stricture resolution was not achieved after 6 months of treatment by plastic stent insertion or PTBD insertion). 3. Malignant biliary or pancreatic stricture is ruled out by pathological examination and clinical course. 4. Patients with written informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with difficulty in endoscopic approach to strictures. 2. Patients withpossibility of malignant biliary or pancreatic stricture. 3. Patients with performance status 3-4. 4. Patients with serious concomitant diseases such as heart failure, respiratory failure, or disturbance of consciousness and who cannot tolerate endoscopic procedures. 5. Patients considered ineligible by the attending physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of stricture resolution at stent removal after 90 days of indwelling. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Overall rate of stricture resolution at the end of the study period. 2.Rate of stricture recurrence and period until stricture recurrence. 3.Success rate of stent removal. 4.Adverse event at stent removal. 5.Other adverse events. | — |
Countries
Japan
Contacts
Graduate School of Medicine, The University of Tokyo Department of Gastroenterology