Malignant distal bile duct obstruction patients receiving self-expandable metal stent placement gallbladder stent malignant distal bile duct obstruction
Conditions
Interventions
ERCP and perform cystic duct cannulation, followed by placing a 7Fr double pigtail plastic stent.
The proximal end of plastic stent positioned in the gallbladder and the distal end in duodenum.
Then,
Experimental Procedure/Surgery,Experimental Procedure/Surgery
endoscopic gallbladder stent and self-expandable metal stent placement,self expandable metal stent placement alone
Sponsors
Division of gastroenterology and hepatology, Faculty of medicine, Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age 18 years or older, 2.Diagnosed with malignant distal bile duct obstruction by imaging or histology, 3. Indicated for biliary stenting
Exclusion criteria
Exclusion criteria: 1. History of cholecystectomy, 2. Concomitant cholecystitis at the time of self-expandable metal stent placement, 3. Evidence of tumor invade cystic duct orifice, 4.Previous surgery causing anatomy alteration, 5. pregnancy or lactation, 6. denied participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cholecystitis 30 days after procedure clinical and laboratory | — |
Secondary
| Measure | Time frame |
|---|---|
| cholecystitis 90 days after procedure clinical and laboratory,mortality 30 and 90 days after procedure clinical,technical success rate of endoscopic gallbladder stent after procedure cholangiogram ,proceudre-related adverse events after procedure clinical and imaging | — |
Countries
Thailand
Contacts
Public ContactNuttida Polpanich
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Outcome results
None listed