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Comparison of metal versus plastic side-by-side stent insertion in malignant hilar biliary obstructio

Not Applicable
Completed
Conditions
Neoplasms
Registration Number
KCT0004824
Lead Sponsor
Seoul National University Hospital
Brief Summary

: Both groups had 100% technical success rates; 88% and 76% of clinical success rates were obtained in MS and PS, respectively. Although stent migrations were more frequent in MS than PS (48% vs. 16%, P = 0.02), the mean TRBO was significantly longer in MS (190 days; 95% confidence interval [CI] 121–260 days vs. 96 days; 95% CI 50–141 days, P = 0.02). The placement of plastic stents (hazard ratio 2.42; 95% CI 1.24–4.73; P = 0.01) was the only significant risk factor associated with TRBO in multivariable analysis. The rates of adverse events were similar between the two groups (difference 0%; 95% CI 25% to 25%; P > 0.99)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
50
Inclusion Criteria

Unresectable malignant hilar biliary stricture requiring biliary drainage through endoscopic procedure

Exclusion Criteria

If endoscopy is not possible based on the judgement of the researcher
Life expectancy less than 6 months
Acute cholecystitis
Previous history of percutaneous transhepatic biliary drainage
Previous history of metal stent placement for malignant biliary stricture

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Duration of the stent patency
Secondary Outcome Measures
NameTimeMethod
Technical success, clinical success;Stent malfunction rate;Reintervention rate and cause of reintervention;Adverse event related to the procedure;Success rate of the stent removal
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