切除不能な悪性遠位総胆管狭窄症患者におけるEUSガイド下胆管十二指腸吻合術と被覆金属ステントを用いたERCPの比較

基本情報

NCT ID: NCT03000855
ステータス: 完了
試験のフェーズ: 第2/第3相
試験タイプ: 介入
目標被験者数: 77
治験依頼者名: Chinese University of Hong Kong

概要

EUS - guided choledocho-duodenostomy (ECDS) is an established option for bile duct drainage in unresectable malignant distal CBD strictures when endoscopic retrograde cholangiopancreatography (ERCP) fails. However, how primary ECDS compares with ERCP with covered self-expanding metallic stents (CSEMS) in unresectable malignant distal CBD strictures is uncertain. The aim of the current study is to compare primary ECDS versus ERCP with CSEMS in unresectable malignant distal CBD strictures. We hypothesis that ECDS is associated with a higher 1-year stent patency rate.

対象疾患

Malignant Biliary Obstruction

介入

EUS-guided choledocho-duodenostomy(PROCEDURE)

Endoscopic retrograde cholangiopancreatography with covered metallic stent(PROCEDURE)

依頼者（Sponsor）

Tokyo Medical University(OTHER)

Kinki University(OTHER)

Chinese University Of Hong Kong(OTHER)

実施施設 (2)

和歌山県立医科大学附属病院

Wakayama, Japan

東京医科大学病院

Tokyo, Japan