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Treatment of bile duct stones of difficult removal compared two endoscopic methods: Stone fragmentation with electrohydraulic lithotripsy (EHL) X balloon dilation of the major duodenal papilla

Not Applicable
Conditions
C06.130.120.250.174
Digestive system diseases.Choledocholithiasis
Registration Number
RBR-5wx47j
Lead Sponsor
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruitment completed
Sex
Not specified
Target Recruitment
Not specified
Inclusion Criteria

Over 18 years and both genders (male and female). Capable of consent, agreed and signed the Term of Consent. Bile duct stones considered difficult to remove. Biliary stones in bile ducts

Exclusion Criteria

Age below 18 years. Incapable of giving consent. Pregnant. Gastrointestinal bypass surgery with previous reconstructions as Billroth II or Roux-en-Y. Patients with signs of severe acute cholangitis requiring biliary drainage with fast plastic stent and minimal or no contrast infusion. Patients with previous liver transplantation.

Study & Design

Study Type
Intervention
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Effectiveness of the two techniques under investigation.<br>Effectiveness: capacity of the technique to successfully treat the condition (complex biliary stones), with complete removal of all the stones from the bile ducts, in a way that patient will not have this condition at the end of procedure. This will be verified at the end of the procedure performing a control cholangiography post stone removal.
Secondary Outcome Measures
NameTimeMethod
Analysis of the particularities of the stones (size in millimeters, shape oval, round or faceted and location in bile ducts segments) and their relation with the success of bile duct clearance.;Safety of the two techniques under investigation.<br>Safety: analyzed with the occurrence of adverse events, the frequency, type, if related or not to the procedure and severity. Adverse events were verified during procedure, in 24 hours and one week.
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