Gastrostomy-Biliary Diversion: Innovative Management for Bile Canalicular Transport Disorders
NCT04071197 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2020-08-24
Summary
Progressive familial intrahepatic cholestasis (PFIC) is a group of disorders that can present early in life with cholestasis and intractable pruritus. Their treatment poses a great challenge, with medical treatment is not successful in many cases. Moreover, the available non-transplant surgeries carry many side effects and different degrees of efficacy. Partial external biliary diversion, internal biliary diversion, and ileal exclusion still lack widespread experience with many side effects. Nasobiliary stent placement has little tolerability, especially in younger age. Gastrobiliary tube is a novel modality for external biliary diversion in such patients.
Conditions
- Progressive Familial Intrahepatic Cholestasis
Interventions
- DEVICE
-
Gastostomy-biliary tube
gastrostomy followed by ERCP with nasobiliary stent placement in the CBD with its distal end been exit from the previously performed gastrostomy instead of the nostril
- DEVICE
-
External biliary diversion, internal biliary diversion and nasobiliary tube
All biliary diversion modalities other than gastrobiliary tube
Sponsors & Collaborators
-
National Liver Institute, Egypt
lead OTHER
Principal Investigators
-
Ahmad M Sira, M.D. · Pediatric Hepatology Dep; National Liver Institute, Menoufia University, Egypt
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Year
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-03-10
- Primary Completion
- 2020-10-01
- Completion
- 2021-04-01
Countries
- Egypt
Study Locations
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