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Investigator initiated clinical trial to validate usefulness of specific system for endoscopic ultrasound guided hepaticogastrostomy (HG01) in malignant biliary obstructio

Not Applicable
Conditions
Biliary obstruction due to unresectable malignant tumors
Malignant biliary obstruction, Endoscopic ultrasound, Biliary drainage, Hepatocogastrostomy
D001660
Registration Number
JPRN-jRCT2052210020
Lead Sponsor
Kitano Masayuki
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
40
Inclusion Criteria

(1) Ages of more than 20 years old when obtaining informed consent
(2) Malignancy of pathological diagnosis
(3) Biliary obstruction due to unresectable malignant tumors
(4) Failured, impossible or difficult in biliary drainage with ERCP
(5) Serum bilirubin level of higher than 3.0 mg/dl before enrollment
(6) Obtaining the document for informed consent from the patient

Exclusion Criteria

(1) Impossible to perform endoscopy
(2) After total gastrectomy
(3) After left hepatectomy
(4) Bismuth classification for hilar biliary carcinoma : Type IIIb or Type IV
(5) Liver cirrhosis
(6) Ascites around the liver on CT
(7) With PTBD tube at obtaining informed consent
(8) Planned insertion of metal stent in the upper gastrointestinal tract within 7 days before treatment
(9) Performance status 4
(10) Severe other diseases in the heart, lund, kidney and/or liver. ASA 4 or higher
(11) Poor general condition and estimated prognosis of less than 2 months
(12) Hemorrhagic diathesis including fetal aneurisms or severe coagulation disorder
(13) Participating in the other clinical trials (except non-intervention)
(14) Women who may possibly be pregnant or wants to be pregnant
(15) Metal allergy to nickel-titanium
(16) Know allergy to iodine contrast agents according to anaphylaxis guideline
(17) Patients whom the investigators decide inappropriate to participate in the trial

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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