Unresectable malignant perihilar biliary obstruction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a. those who have been diagnosed as malignant perihilar biliary obstruction with Bismuth level 2 or more. b. Clinically non resectable c. Total biliarubin =/> 2.0 mg/dL d. No history of previous biliary stent placement e. Expected prognosis > 3 months f. Obtaining written informed concent
Exclusion criteria
Exclusion criteria: a. No tolerance of endoscopic procedures b. ASA class 4 or more c. Reconstructed upper GI tract d. State after papillectomy, surgical biliojejunostomy e. Planned for surgical resection, radiotherapy, PDT, or HIFU f. Planned for scheduled replacement of PSs g. State after placement of irremoval biliary stents h. Tumors extending to lower bile duct i. Tumors which have already invaded to broad area and which was considered to be difficult to treat with biliary drainage j. Tumors with papillary growth k. Active infectious inflammation l. PSC, IgG4-SC and PBC m. LC stage Child-Pugh C n. Hemolyzing disease o. Allergic for contrast
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patency period of inside PSs | — |
Countries
Japan
Contacts
Sendai City Medical Center Department of Gastroenterology