Bile Duct Cancer, Bile Duct Obstruction, Gallbladder Cancer, Pancreatic Cancer
Conditions
Keywords
Bile duct, Bile duct obstruction, Biliary stent, Metal stent, ERCP, Patency, Complication, Stent occlusion
Brief summary
The primary purpose is to compare patency of two different types of biliary metal stents, i.e. covered versus uncovered Nitinella metal stent. Secondary purposes are to determine frequency of complications in the two groups, e.g. cholecystitis, pancreatitis, and cholangitis.
Interventions
Nitinella covered (arm 1) or uncovered (arm 2) biliary metal stent. Maximum diameter 10 mm, length 52 or 72 mm
Sponsors
Study design
Eligibility
Inclusion criteria
* 20 years of age or older * oral and written information given and informed consent obtained * clinical data in accordance with malignant bile duct obstruction * ultrasonography signs of extrahepatic malignant common bile duct obstruction * typical radiological findings at ERCP of malignant common bile duct stenosis * proximal margin of the bile duct stenosis at least 2 cm from the hepatic confluence * bilirubin \> 50 micromol/L * radical surgery estimated not possible (temporary stenting with insertion of a plastic stent can be obtained but should be replaced by a metal stent within 4 weeks after the first ERCP procedure, and the patient is randomized at the time of insertion of the metal stent)
Exclusion criteria
* patients with active hepatitis or other hepatic diseases that may cause jaundice * informed consent not obtained * metastasis with numerous significant intrahepatic stenosis causing blockage of one or more segments of the liver (if no segment blockage, liver metastasis is not an
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical follow-up every month, starting one month after stent insertion. Clinical and/or laboratory signs of stent dysfunction? | 12 months after stent insertion |
Countries
Sweden