Ampullary Tumor, Bile Duct Cancer, Choledocholithiasis, Pancreatic Cancer
Conditions
Brief summary
1. Background * Advanced guidewires with a U-shaped tip could effectively cross the long or multi-occlusive segment smoothly and go into the distal outflow vessel. * The guidewire looping technique is a safe and effective method for the recanalization of the occluded lesions in infrapopliteal vessels. 2. Objective - To compare the performance a loop-tipped guidewire with a straight-tipped guidewire in achieving successful deep biliary cannulation. 3. Design \- Prospective randomized trial. 4. Setting: \- Tertiary-care medical center 5. Patients \- This study will involve 192 patients with biliary diseases which require endoscopic retrograde cholangiopancreatography. 6. Intervention - Cannulation of bile duct by using a loop-tipped guidewire or a straight-tipped guidewire 7. Main outcome measurements - Compare the cannulation success rate, the duration of the cannulation, immediate and late complications.
Interventions
Selective biliary cannulation during endoscopic retrograde cholangiopancreatography
Selective biliary cannulation during endoscopic retrograde cholangiopancreatography
Sponsors
Study design
Eligibility
Inclusion criteria
* age \> 19 and ability to consent * no evidence of significant cardiopulmonary or medical comorbidities precluding participation
Exclusion criteria
* Known gastroduodenal anatomic abnormalities * Coagulation disorders (international normalized ratio \> 1.5 or platelet count \< 50000 cells/cubic millimeter) * Prior gastric surgery,endoscopic retrograde cholangiopancreatography * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The cannulation success rate | Up to 9 months, The primary outcome measure will be assessed after the enrollment of patients (anticipated time: 2014/08/30). |
Secondary
| Measure | Time frame |
|---|---|
| The duration of the cannulation, immediate and late complications. | Up to 9 months, The secondary outcome measure will be assessed after the enrollment of patients (anticipated time: 2014/08/30). |
Countries
South Korea