Biliary obstruction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a. malignant biliary obstruction b. surgically-altered anatomy except Billroth-I reconstruction c. total biliarubin (TB) >/= 2.0 mg/dL d. no previous biliary stenting e. condition applicable for both interventions f. written IC
Exclusion criteria
Exclusion criteria: a. impossibility for endoscopic therapy b. poor general condition, ASA class 4 or poorer. c. extremely poor condition due to malignancy d. condition in which either intervention cannot be applicable e. condition in which either intervention is obviously favorable f. previous EUS-BD, BE-ERCP, ERCP, or percutaneous biliary drainage g. previous registration to this study h. elevated TB level derived from diseases other than biliary obstruction, such as hemolysis i. allergy for a contrast agent j. pregnancy k. impossibility for observation after treatment l. at doctor's discretion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall procedure time | — |
Secondary
| Measure | Time frame |
|---|---|
| Success rate of biliary decompression, adverse events, recurrence of biliary obstruction, number of reintervention, survival period | — |
Countries
Japan
Contacts
Sendai City Medical Center Department of Gastroenterology