Laser Versus Mechanical Lithotripsy of Bile Duct Stones
NCT01759979 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2017-03-31
Summary
Very large bile duct stones are difficult to remove. The prefered method involves an endoscopic procedure known as endoscopic retrograde cholangiopancreatography (ERCP)performed using a special side viewing endoscope. In the past small baskets passed through the scope into the bile duct have been used to remove most stones using mechanical force.
Recently very small scopes known as cholangioscope have been introduced through the side viewing endoscope directly into the bile duct. These cholangioscopes may be used to guide laser therapy of bile duct stones. The investigators suspect that stone destruction using cholangioscopy guided laser stone destruction may enable bile duct stones to be removed more quickly and safely when added to the mechanical techniques.
Conditions
- Choledocholithiasis
Interventions
- PROCEDURE
-
Laser and mechanical lithotripsy
Patients will undergo cholangioscopy guided laser treatment in addition to treatment with mechanical lithotripsy using basket and balloon techniques.
- PROCEDURE
-
Mechanical Lithotripsy
Patients in the mechanical lithotripsy arm will undergo treatment only with basket and balloons to facilitate stone removal but not laser lithotripsy.
Sponsors & Collaborators
-
University of Southern California
lead OTHER
Principal Investigators
-
James L Buxbaum, MD · University of Southern California
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-01-31
- Primary Completion
- 2016-03-31
- Completion
- 2016-03-31
Countries
- United States
Study Locations
More Related Trials
-
Extracorporeal Shock Wave Lithotripsy Using Latest Lithotripter and Laser Lithotripsy for Difficult Bile Duct Stones
NCT05888077 ·Status: UNKNOWN
-
Clinical Trial Comparing ERCP vs ERCP and Transmural Gall Bladder Drainage
NCT03921502 ·Status: RECRUITING ·Phase: NA
-
Papillary Balloon Dilation Versus Intraductal Lithotripsy
NCT03536247 ·Status: UNKNOWN ·Phase: NA
-
Immediate vs. Elective Endoscopic Removal of Large CBD Stones in High-Risk Elderly Patients
NCT06948279 ·Status: COMPLETED ·Phase: NA
-
Randomized Trial of Wire and Sphincterotome Systems for Biliary Cannulation
NCT02197338 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Papillary Large Balloon Dilatation Versus Mechanical Lithotripsy for Large Stones
NCT02666820 ·Status: COMPLETED ·Phase: NA
-
Balloon Catheter vs. Basket Catheter for Endoscopic Bile Duct Stone Extraction
NCT02909595 ·Status: COMPLETED ·Phase: PHASE4
-
Laparoscopic Endobiliary Stent and Postoperative ERCP Compared to Intraoperative ERCP
NCT06817291 ·Status: COMPLETED
-
Comparison of Endoscopic Sphincterotomy Plus Large-balloon Dilatation and Conventional Treatment for Large CBD Stones
NCT02592811 ·Status: COMPLETED ·Phase: PHASE3
-
Feasibility of Endoscopic Ultrasound Based Biliary Stone Removal Without Fluoroscopy
NCT01678391 ·Status: COMPLETED ·Phase: NA
-
A Multicenter Randomized Controlled Study of 3D Laparoscopy Versus Endoscopy in the Treatment of Choledocholithiasis
NCT04658212 ·Status: UNKNOWN ·Phase: NA
-
Optimizing the Evaluation and Management of Patients With Suspected Choledocholithiasis
NCT05141916 ·Status: RECRUITING
-
Two Institutes Experience in Laparo-Endoscopic Rendezvous Technique for Gallbladder and Bile Duct Stones
NCT05734144 ·Status: COMPLETED ·Phase: NA
-
Comparison Between Pre and Intraoperative ERCP in Treatment of Common Bile Duct Stones
NCT01046552 ·Status: COMPLETED ·Phase: NA
-
ETGBD in Surgically Unfit Patients With Both Choledocholithiasis and Cholecystolithiasis
NCT05935969 ·Status: COMPLETED
-
Laparoscope Combined Ureteroscopic Air-pressure Ballistic Lithotripsy to Treat Patients With Hepatolithiasis
NCT02127242 ·Status: UNKNOWN ·Phase: NA
-
Laparoscopic Treatment of Common Bile Duct Stones : What Are the Limits and When Should we Call the Endoscopist ?
NCT04467710 ·Status: COMPLETED
-
Single-stage ERCP and Laparoscopic Cholecystectomy for Cholecystocholedocholithiasis: Which to Start With?
NCT06340594 ·Status: COMPLETED
-
Early Versus Late Cholecystectomy After Clearance of Common Bile Duct Stones
NCT02460315 ·Status: COMPLETED ·Phase: NA
-
A Trial of Percutaneous vs. Endoscopic Drainage of Suspected Klatskin Tumors
NCT03172832 ·Status: TERMINATED ·Phase: NA
-
Laparoendoscopic Rendezvous for Concomitant Gall Bladder Stones and Common Bile Duct Stones
NCT07008170 ·Status: RECRUITING ·Phase: NA
-
Treatment of Common Bile Duct Stones
NCT03442205 ·Status: UNKNOWN ·Phase: NA
-
Percutaneous Endoscopic Biliary Exploration in Complex Biliary Stone Disease
NCT04308993 ·Status: COMPLETED
-
EUS-Guided Rendezvous or Direct Interventions Versus Advanced ERCP Techniques for Biliary Access and Therapy
NCT01678326 ·Status: COMPLETED ·Phase: NA
-
Early Versus Late Laparoscopic Exploration of Common Bile Duct After Failure of Extraction of Common Bile Duct Stones by ERCP
NCT05823181 ·Status: NOT_YET_RECRUITING