Biliary Tract Diseases, Common Bile Duct Diseases, Lesions of Biliary or Wirsung Ducts, Pancreatic Duct Disorder
Conditions
Brief summary
The biliary and pancreatic tumors are rare but the prognosis is pejorative. It was difficult to have histology of these tumors as the samples taken during ERCP were performed under blind radiology control. So the diagnostic accuracy was insufficient. The arrival of A new optic fiber endoscope used by only one operator had improved the diagnostic of bilio-pancreatic diseases. However this technology with optic fiber quickly had proved outdated for several reasons: poor manoeuvrability, perfectible optical vision, optical fibers fragility and cost. A new generation of endoscopes with digital vision appeared and would allow an increase in diagnostic accuracy related to better vision and manoeuvrability. The purpose of the study is to assess the interest of the cholangio pancreatoscopy performed with digital vision.
Interventions
PROCEDUREcholangio-pancreatoscopy
Sponsors
Hospital St. Joseph, Marseille, France
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients aged ≥ 18 years * Patients with biliary duct stenosis with undetermined etiology * Patients with pancreatic duct stenosis with undetermined etiology * Patients with pancreatic duct distension with undetermined etiology * Patients with biliary or pancreatic gallstones after failure to endoscopic treatment
Exclusion criteria
* Patients with haemorrhagic disease or hemostasis and coagulation disorders (TP \< 60%, TCA\> 40 sec. and platelets \< 60000/mm3). * Patients treated with anticoagulant or platelet aggregation inhibiting drugs that could not be temporarily interrupted. * Patients with biliary duct diameter \< 3 mm * Patients with pancreatic duct diameter \<3 mm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluate the diagnostic accuracy of the Spyglass to distinguish a benign lesion from a malignant lesion of the biliary or Wirsung ducts. | 4 YEARS |
Countries
France
Outcome results
None listed