Comparison of two bile duct cannulation methods in difficult ERCP cases

Not Applicable

Conditions: Obstruction of bile duct.
Obstruction of bile duct
K83.1

Registration Number: IRCT20220905055884N1

Lead Sponsor: Shahid Beheshti University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 128

Inclusion Criteria

People more than 18 years old
Patients with acute pancreatitis (elevation of Amylase and Lipase more than 3-fold the upper limit of normal) suspicious of Acute biliary pancreatitis
Patients with gallstone in ultrasound suspicious of CBD stone (symptomatic gallstone disease)
Biochemical (elevation of AST, ALT, ALP and/or bilirubin) and ultrasound findings (stone detection and/or CBD dilation) indicating CBD stone or CBD obstruction

Exclusion Criteria

Patients with severe coagulopathy or previous gastric surgery with Roux_en_y
Gastrojejunostomy
Pregnancy
Sensitivity to contrast material
Sensitivity to contrast material

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Temperature. Timepoint: Before and after the procedure. Method of measurement: Body temperature measuring tool.;Complete blood count (CBC) differentiation. Timepoint: Before and after the procedure. Method of measurement: Blood test.;Amylas. Timepoint: Before and after the procedure. Method of measurement: Blood test.;Lipase. Timepoint: Before and after the procedure. Method of measurement: Blood test.;Post ERCP bleeding. Timepoint: During or after the procedure. Method of measurement: Clinical evidence of bleeding with hemoglobin drop.;Post ERCP Pancreatitis. Timepoint: 6 hours after the procedure. Method of measurement: Amylase at least 3 times normal more than 24 hours after the procedure with abdominal pain.;Post ERCP Perforation. Timepoint: During the procedure. Method of measurement: Clinical evidence of perforation of the lateral or medial wall of the bile duct.;Cholangitis. Timepoint: 6 hours after ERCP. Method of measurement: When the bile duct become infected(RUQ pain, T>38).

Secondary Outcome Measures