Hilar Biliary Strictures
Conditions
Brief summary
The management of hilar biliary strictures remains difficult. These strictures are classified in 4 types (I,II,III and IV). In palliative cases, an endoscopic drainage should be performed in types I and II while a percutaneous drainage is performed in type IV. There is controversy as to whether partial or complete liver drainage should be done. Furthermore there are no standards for drainage types (metallic stents, plastic stents). Morbidity remains high and a multistage procedure can be required. This study aims at evaluating the clinical practices in the investigators' center in order to determine the key factors that contribute to the drainage success or failure.
Interventions
None listed
Sponsors
Institut Paoli-Calmettes
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age \>18 years * Biliary strictures requiring a drainage
Exclusion criteria
* Contraindication to hilar biliary drainage
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy evaluated by the need for re-interventions | up to 2 years | Number of re-interventions |
| Efficacy evaluated by the need for re-hospitalization | up to 2 years | Number of re-hospitalization |
| Efficacy evaluated by complete or partial liver drainage | up to 2 years | realization of complete or partial liver drainage |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Toxicity: Occurrence of drainage complications (sepsis, hemorrhage) | up to 2 years | Occurrence of drainage complications (sepsis, hemorrhage) |
Countries
France
Contacts
Primary ContactDominique Genre, MD
Outcome results
None listed