Biliary Obstruction, Cholangitis
Conditions
Keywords
antireflux valve, biliary obstruction, cholangitis, biliary stent
Brief summary
Biliary obstruction can be relieved by biliary stent. Ascending infection of biliary passage (cholangitis) causes hospitalization and obstruction of stents. Reflux of intestinal fluids through a stent is thought to be one of the causes of cholangitis. Stents with antireflux valves are designed to reduce the reflux from the bowel. The purpose of the study is to investigate prospectively whether it is possible to reduce the amount of infection and thus obstruction of biliary stent by using a stent with an antireflux valve compared to a normal stent without an antireflux valve.
Interventions
arms are assigned randomly by closed envelope method
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18-89 * biliary obstruction in the lower two thirds of the choledochus
Exclusion criteria
* allergy to contrast media * future pancreaticoduodenectomy * refusal from the study * previous stent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| patency of a biliary stent | one year |
Secondary
| Measure | Time frame |
|---|---|
| Cholangitis | one year |
Countries
Finland