The efficacy of endoscopic ultrasonography-guided biliary drainage versus percutaneous transhepatic biliary drainage in patients with failed biliary cannulation of malignant biliary obstructions

The efficacy of endoscopic ultrasonography-guided biliary drainage versus percutaneous transhepatic biliary drainage in patients with failed biliary cannulation of malignant biliary obstructions; A prospective multicenter study

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

CRIS

Registry ID

KCT0001370

Enrollment

Registered

2015-02-02

Start date

2014-10-06

Completion date

Unknown

Last updated

2019-03-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Medical Device, Procedure/Surgery : EUS-guided hepaticogastrostomy (EUS-HG) will be performed in patients with hilar stricture or altered anatomy such as Roux-en-Y anastomosis, and EUS-guided choledoc

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: a) the presence of an unresectable malignant distal biliary obstruction (greater than 2 cm distal to the hilum); b) failed conventional ERCP and inaccessible papilla because of accompanying duodenal obstruction, periampullary tumor infiltration, or surgically altered anatomy; c) histologic or cytologic diagnosis of malignancy; d) a Karnofsky index of ?30%; e) no serious or uncontrolled medical illnesses; and f) provision of informed consent.

Exclusion criteria

Exclusion criteria: a) patient age of less than 18 years, b) hilar biliary obstruction, c) uncorrectable coagulopathy, d) a history of allergies to radiocontrast agents, and e) refusal to participate in this study.

Design outcomes

Primary

Measure	Time frame
Technical success of EUS-BD and PTBD	—

Secondary

Measure	Time frame
Quality of life, Complications- bleeding, perforation, peritonitis, etc.	—

Countries

Korea, Republic of

Contacts

Public ContactTae Hoon Lee

Soon Chun Hyang University Hospital Cheonan

thlee9@lycos.co.kr+82-41-570-3662

Outcome results