Is Useful a Coaxial Plastic Stent Within a Lumen-Apposing Metal Stent For The Palliative Management Of Malignant Biliary Obstruction?
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pancreatic Cancer
- Sponsor
- Hospital Universitari de Bellvitge
- Enrollment
- 39
- Locations
- 3
- Primary Endpoint
- Potential benefits
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
There are doubts concerning the possible benefits derived from the insertion of double-pigtail plastic stents (DPS) within the lumen-apposing metal stents (LAMS) in the EUS-guided transmural biliary drainage (BD). The aims was to evaluate the safety of LAMS with and without a coaxial DPS in EUS-BD for the palliative management in malignant biliary obstruction.
Investigators
Joan B Gornals
Programme Director, Endoscopy Area, MD, PhD
Hospital Universitari de Bellvitge
Eligibility Criteria
Inclusion Criteria
- •Consecutive unresectable/inoperable biliopancreatic cases with distal biliary obstruction who underwent EUS-BD after failed ERCP cannulation or inaccessible papilla
Exclusion Criteria
- •Borderline cancer cases
- •Others type of biliary stents
- •Severe coagulopathy or thrombocytopenia.
Outcomes
Primary Outcomes
Potential benefits
Time Frame: 4 weeks
to respond if a coaxial DPS within a biliary LAMS really has a potential benefit in the EUS-BD (less number of adverse events: cholangitis, bleeding, sump syndrome, cholestasis secondary to stent biliary obstruction)
Secondary Outcomes
- Technical success(24 hours)
- Clinical success(4 weeks)
- Procedure time(2 hours)
- Biliary reintervention(6 months)