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saddle-cross study

Phase 3
Recruiting
Conditions
benign strictures after hepaticojejunostomy
benign strictures
D002779
Registration Number
JPRN-jRCTs032220556
Lead Sponsor
Okusaka Takushi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
50
Inclusion Criteria

1) no tumor is found at the anastomotic site by imaging, no hepatic duct stone is found, and benign bile duct jejunal anastomotic stricture is suspected. 2) Cholangitis is consistent. 3) The patient satisfies the conditions for the procedure of the saddle-cross technique. 4) No bleeding tendency. 5) Performance status (ECOG): 0, 1, 2. 6) Age > 20 years. 7) Patient's free written consent to participate in the study has been obtained.

Exclusion Criteria

1) The physician deems the patient ineligible for enrollment in this study.
2) The patient is severely ill in the severity classification of acute cholangitis (diagnostic criteria and severity follow Tokyo Guidelines 2018 [21]).
3) Intrahepatic stones evident on CT or MRI (Patients with bile duct stones on CT or MRI will be considered for enrollment in the study after stone removal treatment).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
ong-term restenosis-free rate (at 12 months)
Secondary Outcome Measures
NameTimeMethod
1) rate of adverse events, 2) procedural success rate of endoscopic bile duct jejunal anastomosis dilatation with two FC-SEMS, 3) clinical success rate of endoscopic bile duct jejunal anastomosis dilatation with two FC-SEMS, 4) procedure time, 5) time to stenosis recurrence, 6) rate of spontaneous stent deviation, 7) time to stenosis recurrence in cases of spontaneous stent deviation.
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