Comparison Between Two Methods of Bilateral Stenting for Malignant Hilar Obstruction
Study Details
Study Description
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.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: parallel stent parallel stent insertion group |
Procedure: parallel stent
bilateral parallel stent insertion (right and left side)
Other Names:
|
Active Comparator: Y-stent Y-stent insertion group |
Device: Y-stent (BONASTENT M-Hilar)
Bilateral Y-stent insertion (stent in stent type)
Other Names:
|
Outcome Measures
Primary Outcome Measures
- The time taken to insert bilateral stent [After the ERCP procedure]
Eligibility Criteria
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
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Samsung Medical Center | Seoul | Korea, Republic of | 135-710 |
Sponsors and Collaborators
- Samsung Medical Center
Investigators
- Study Director: Kwang hyuck Lee, MD, phD, Division of Gastroenterology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- KH0LEE