Clip-assisted Fixation to Prevent Migration of Fully Covered Self-expandable Metal Stent in Patients Undergoing ERCP
NCT04325152 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 180
Last updated 2024-01-17
Summary
Fully covered self-expandable metal stent (FCSEMS) has been widely used in ERCP patients with malignant or benign biliary stricture, difficult CBDS, post-EST bleeding, bile leak or perforation. Compared with uncovered SEMS, FCSEMS can be removed several months later and has the advantage of longer patency. Proximal or distal migration is one of major disadvantages of FCSEMS. The migration rate ranged from 7.0%-33% in previous reports.
We hypothesized that the fixation of the distal end of FCSEMS by a metal clip could decrease the migration rate and migration-related cholangitis.
Conditions
- Pancreaticobiilary Diseases
- Endoscopic Retrograde Cholangiopancreatography
Interventions
- DEVICE
-
FCSEMS plus Clip
After successful cannulation, a 10mm FCSEMS with the length of 6cm or 8cm were inserted into CBD. Then a metal clip was used to fix the distal end of FCSEMS with the duodenal mucosa adjacent to papilla.
- DEVICE
-
FCSEMS
FCSEMS was released as the same as mentioned above. No fixating method was used.
Sponsors & Collaborators
-
The Second Affiliated Hospital of Chongqing Medical University
collaborator OTHER -
Huaihe Hospital of Henan University
collaborator OTHER -
Xiamen Humanity Hospital
collaborator OTHER -
The Third Affiliated Hospital of Second Military Medical University
collaborator UNKNOWN -
Air Force Military Medical University, China
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-10-21
- Primary Completion
- 2022-11-19
- Completion
- 2022-11-19
Countries
- China
Study Locations
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