malignant hilar biliary obstruction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Untreated unresectable malignant hilar biliary obstruction 2. Type 2/3/4 in Bismuth classification 3. More than 3mg/dl of serum bilirubin 4. More than 20 years old 5. More than 30 days of expected survival period 6. Written informed consent obtained
Exclusion criteria
Exclusion criteria: 1. Patients with surgical altered anatomy or post-hepatectomy 2. Endoscopic approach to the biliary system is impossible 3. Prior biliary drainage (transient naso-biliary drainage can be included) 4. biliary obstruction to 3rd branch of bilateral bile duct 5. Pregnant women or those suspected of pregnancy 6. Patients considered ineligible by attending physicians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to Recurrent Biliary Obstruction | — |
Secondary
| Measure | Time frame |
|---|---|
| technical success rate, procedure time, functional success rate, adverse event, time of possible biliary drainage including re-intervention, survival time | — |
Countries
Japan
Contacts
Teine-Keijinkai Hospital Center for Gastroenterology