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Comparison of Loop-tip Cook Medical® Wire Versus Traditional Endoscopic Technique

Not Applicable
Completed
Conditions
Complications of Surgical and Medical Care: General Terms
Registration Number
NCT02232451
Lead Sponsor
Azienda Ospedaliera San Paolo
Brief Summary

The purpose of this study is to test a new guide-wire (loop-tip wire) with a loop in the tip for the prevention of PEP and biliary tree access, in post-ERCP pancreatitis in high-risk patients.

Detailed Description

Selective cannulation of common bile duct (CBD) by insertion of a guide-wire seems to be associated with fewer complication and post-ERCP pancreatitis (PEP) rate than the conventional biliary tree access with contrast injection even if results are conflicting. The aim of our study is to test a new guide-wire (loop-tip wire) with a loop in the tip for the prevention of PEP and biliary tree access, in PEP high-risk patients.

Type of study: Multicentric, prospective and randomized trial

Patients: PEP high-risk patients underwent ERCP for benign biliary pathology

Number of patients: 320 patients (160 for each group)

Aim:

Primary end point: The evaluation of the incidence of PEP . Secondary end point: The evaluation of CBD percentage cannulation.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
320
Inclusion Criteria
  • high risk patients for post-ERCP pancreatitis
Exclusion Criteria
  • age < 18 yrs
  • allergy to the contrast medium
  • previous surgery
  • neoplastic bilio-pancreatic disease
  • previous EBS

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
The evaluation of the incidence of PEPloop20216
Secondary Outcome Measures
NameTimeMethod
The evaluation of CBD percentage cannulation.loop20216

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