EUS Guided ERCP in Bile Duct Stone Removal
NCT02870686 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 114
Last updated 2016-12-14
Summary
For endoscopist, ERCP for bile duct stone removal is the most widely performed procedure. However, the risk associated radiation exposure to patients and staff are not neglible. Earlier studies, ERCP without the use of fluoroscopy has been reported high success for bile duct stone removal in pregnant patients to prevent radiation exposure to the fetus. EUS is highy accurate technique in detecting common bile duct stone and guiding for therapeutic intervention. There has been a few data from literature showed that EUS guided CBD stone ( CBDS ) removal are equivalent to those following ERCP in term of successful CBDS removal and complications. This randomized trial is designed to address the question that EUS guided CBDS removal is equivalent to ERCP in term of efficacy and safety.
Conditions
- Choledocholithiasis
Interventions
- PROCEDURE
-
ERCP without the use of fluoroscopy
ERCP removal of stone technique without the use of fluoroscopy involves: (1) catheter with wire achieve bile duct, (2) confirmation of bile duct achievement with catheter aspiration of bile, (3) performance of endoscopic biliary sphinctertome, (4) stone removal with balloon or basket- number of stones removed should compare number detected on EUS, (5) confirmation of complete stone clearance with radiocontrast.
- PROCEDURE
-
ERCP with the use of fluoroscopy
ERCP removal of stone technique with the use of fluoroscopy involves: (1) catheter with wire achieve bile duct, (2) confirmation of bile duct achievement with fluoroscopy images, (3) performance of endoscopic biliary sphinctertome, (4) stone removal with balloon or basket, (5) confirmation of complete stone clearance with radiocontrast.
Sponsors & Collaborators
-
Prince of Songkla University
lead OTHER
Principal Investigators
-
Nisa Netinatsunton, MD. · NKC Institute of Gastroenterology and Hepatology , Faculty of Medicine, Prince of Songkla University.
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2013-05-31
- Primary Completion
- 2016-09-30
- Completion
- 2016-10-31
Countries
- Thailand
Study Locations
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