Common Bile Duct Calculi, Common Bile Duct Dilatation, Common Bile Duct Diseases, Common Bile Duct Neoplasms, Common Bile Duct Stricture
Conditions
Keywords
ERCP, Steroids, Dexamethasone, CBD cannulation time
Brief summary
The main aim of this clinical trial is to evaluate the effects of dexamethasone on common bile duct cannulation time during endoscopic retrograde cholangiopancreatography (ERCP) in patients with biliary pathologies. The study will also study the effects of dexamethasone on total procedure time and total fluoroscopy time during ERCP. Participants will be divided into two groups, treatment group and placebo group. Patients in treatment group will receive dexamethasone and those in placebo group will be given normal saline before undergoing ERCP. The results in both groups will be compared to determine the effects of dexamethasone.
Interventions
An injection of 4mg of dexamethasone will be given to patients approximately 2 to 4 hours prior to the procedure of ERCP.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age: 18 years or above * Both genders, male and female patients
Exclusion criteria
* Age younger than 18 years or below * Pregnant females * Pre existing stent in CBD or pancreatic duct * Previous history of ERCP * Patients with billroth II surgery * Anatomical abnormalities * Lack of competence in patients * Roux en Y gastric bypass * Patients with contra indications for steroids like DM
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shortening of CBD cannulation time | CBD cannulation time will be calculated from the start of the procedure (0 minutes) till complete CBD cannulation has been achieved through catheter and confirmed by fluoroscopy or procedure abandoned if unsuccessful cannulation by 30 minutes. | To determine the effects of dexamethasone on shortening of CBD cannulation time |
Countries
Pakistan