Patients with surgically reconstructed intestines who require evaluation the bile duct.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1: Patients with surgically reconstructed intestines (Billroth II or Roux-en-Y) who require evaluation or treatment of the bile duct. 2: Patients who are 18 years of age or older at the time of consent acquisition. 3: Patients who have received a sufficient explanation regarding participation in this study, fully understood the explanation, and voluntarily provided written informed consent.
Exclusion criteria
Exclusion criteria: 1:Patients undergoing treatment using an endoscope other than a double-balloon endoscope. 2:Patients with a history of papillary intervention (endoscopic sphincterotomy or endoscopic papillary balloon dilation). 3:Patients with a tumor of the papilla. 4:Patients classified as ASA-PS (American Society of Anesthesiologists Physical Status) 4-5 . 5:Other patients deemed inappropriate for participation in the study by the principal investigator or co-investigators.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Biliary cannulation rate within 10 minutes. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1:Biliary cannulation time 2:Method of biliary cannulation with the allocated catheter (if cannulation was successful) 3:Number of biliary approach attempts 4:Number of accidental pancreatic duct cannulations 5:Presence or absence of precut 6:Success or failure of biliary cannulation (rescue method if biliary cannulation failed) 7:All biliary cannulation methods used during the procedure, final biliary cannulation method 8:Biliary cannulation rate by the primary operator 9:Biliary cannulation rate with or without the retroflex position 10:Biliary cannulation rate by papilla morphology 11:Rate of EST (endoscopic sphincterotomy) performed in cases allocated to the rotatable catheter 12:Details of the endoscopic procedure performed 13:Adverse events | — |
Contacts
Okayama University Hospital