Comparison Between Two Methods of Bilateral Stenting for Malignant Hilar Obstruction
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Bile Duct Neoplasm
- Sponsor
- Samsung Medical Center
- Locations
- 1
- Primary Endpoint
- The time taken to insert bilateral stent
- Status
- Withdrawn
- Last Updated
- 10 years ago
Overview
Brief Summary
Internal biliary drainage using stent is used for malignant hilar obstruction such as cholangiocarcinoma, hepatocellular carcinoma and other malignancy including metastasis.
Bilateral drainage is more physiologic and have more long patency than unilateral drainage.
There are two methods of bilateral drainage: Y-stent and side by side.
However there are no clinical data about comparing the effectiveness of these two methods.
Therefore the investigators want to compare the clinical outcomes of two methods:
Y-stent and side by side.
Investigators
Kwang Hyuck Lee
Assistant Professor of Medicine
Samsung Medical Center
Eligibility Criteria
Inclusion Criteria
- •age ≥ 18 years
- •patient who have obstructive jaundice (bilirubin \> 2.0mg/dl) due to hilar malignancy
Exclusion Criteria
- •patients with endoscopic retrograde cholangiogram is not possible
- •bleeding tendency (PT INR \> 1.5, platelet \< 50,000)
- •poor general condition (ECOG 3-4) or cardiopulmonary deterioration
- •pregnancy
Outcomes
Primary Outcomes
The time taken to insert bilateral stent
Time Frame: After the ERCP procedure