perihilar biliary stricture
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Those indicated perihilar biliary stricture by imaging modlities inspite of benignity and malignanc 2) Age of 20 years or more at the time of informed consent. 3) Patients obtained informed consent on their will.
Exclusion criteria
Exclusion criteria: 1) Performance Status 4 2) Having severe comorbidity (American Society of Anesthesiologists (ASA) classification 3 or more) 3) Unable to stop anti-platelet and anti-coagulant therapy 4) Pregnant or suispicious for pregnancy 5) History of endoscopic biliary drainage 6) Stricture in distal bile duct or intrahepatic bile duct. 7) Bile duct obstruction by stones 8) Scheduled for percutaneous transhepatic o r endoscopic ultrasound guided rendezvous technique 9) Difficulty in endoscopic biliary approach due to such as gastrectomy (except for Billroth I reconstruction) 10) Difficulty to insert endoscopy due to apparent gastrointestinal obstruction 11) PT-INR of 2.0 or more 12) Those judged inappropriate by participating doctors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate of each angled type and straight type guidewire passing perihilar biliary stricture within 5 minutes. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Benign or malignancy of the underlying disease 2) Methiods of selective bile duct canulation 3) Required time for selective bile duct canulation 4) Required time for passing the stricture 5) Required number of guidewires for achieving requested bile duct canulation 6) Adverse event 7) Stricture length and type (Bismuth classification) 8) Total procedure time 9) All of performed procedures 10) Catheters and guidewires used in cases of failure (types, numbers). | — |
Countries
Japan
Contacts
University of Miyazaki Department of Gastroenterology and Hepatology