EUS-guided Hepatico-gastrostomy Using a Novel Lumen Apposing Metal Stent
NCT05169398 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2026-03-20
Summary
EUS-guided biliary drainage is gaining popularity as a means of achieving endoscopic drainage in patients with failed endoscopic retrograde cholangiopancreatography (ERCP) 1. EUS-guided hepaticogastrostomy (HGS) is a type of EUS-guided biliary drainage and the procedure is employed when the ERCP fails due to a malignant bile duct obstruction but the papilla is inaccessible or if the first of the duodenum is infiltrated by tumor. Recently, a novel dedicated HGS (Niti-S, Taewoong Medical, Gyeonggi-do, Korea) has become available, the stent has a novel design to that prevents the stent from migration, further improving the safety.
The aim of the current study is to evaluate the feasibility and outcomes of the novel lumen apposing stent for EUS-guided HGS. The hypothesis is that the device is safe and effective.
Conditions
- Malignant Biliary Obstruction
Interventions
- DEVICE
-
EUS-guided hepaticogastrostomy
EUS-guided hepaticogastrostomy would be performed with the MG-biliary stent (Niti-S, Taewoong Medical, Gyeonggi-do, Korea)
Sponsors & Collaborators
-
Chinese University of Hong Kong
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-01-15
- Primary Completion
- 2026-11-30
- Completion
- 2026-11-30
Countries
- Hong Kong
Study Locations
More Related Trials
-
Palliation of Gastric Outflow Obstruction in Case of Concomitant Biliary Obstruction.
NCT05142839 ·Status: UNKNOWN ·Phase: NA
-
Endoscopic Biliary Drainage in Malignant High Grade Biliary Stricture
NCT03530527 ·Status: TERMINATED ·Phase: NA
-
Feasibility and Safety of a Dedicated Biliary Stent for Transmural EUS-guided Hepatico-gastrostomy: the FIT Study
NCT04403893 ·Status: COMPLETED
-
EUS-guided Gallbladder Drainage Instead of Laparoscopic Cholecystectomy for Acute Cholecystitis. A Feasibility Study.
NCT04197908 ·Status: COMPLETED ·Phase: NA
-
Intraintestinal Extended Biliary Stents Preventing Duodenobiliary Reflux in Patients With Biliary Stricture
NCT04550819 ·Status: UNKNOWN ·Phase: NA
-
Clinical Evaluation of Enteral-extended Anti-reflux Stents for Pancreatic Pseudocyst
NCT05716594 ·Status: RECRUITING ·Phase: PHASE2
-
Single-operator Digital Cholangioscopy for the Diagnosis of Malignant and Benign Biliary Strictures
NCT03307382 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Endoscopic Ultrasound-guided Rendezvous Versus Precut Papillotomy
NCT06010576 ·Status: RECRUITING ·Phase: NA
-
EUS Biliary Drainage vs. ERCP
NCT03870386 ·Status: COMPLETED ·Phase: NA
-
Prospective Randomized Study of PTC and EUS-guided Drainage of the Bile Duct
NCT01499537 ·Status: COMPLETED ·Phase: NA
-
A Prospective Cohort of Emergent Laparoscopic Cholecystectomy in PUMCH
NCT06552949 ·Status: COMPLETED
-
Effect of 8.5 F Plastic Stent Without Proximal Flap on Prevention of Post-ERCP Cholangitis
NCT02594891 ·Status: COMPLETED ·Phase: NA
-
Biliary Drainage in Patients With Duodenal Metal Stent
NCT02376907 ·Status: UNKNOWN
-
Endoscopic Ultrasonography Guided Biliary Drainage
NCT03195075 ·Status: UNKNOWN ·Phase: NA
-
EUS-guided Biliary Drainage vs. ERCP Assisted Transpapillary Drainage for Malignant Biliary Obstruction
NCT03812250 ·Status: COMPLETED ·Phase: NA
-
A Prospective, Randomized Study Evaluating the Effect of Biliary Stenting on EAU-FNA in Patients With Suspected Malignant Biliary Obstruction
NCT01514058 ·Status: TERMINATED ·Phase: NA
-
A RCT of Low MBO Drainage Strategies
NCT06196164 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Eus-giuded Biliary Drainage With Ec-lams vs ERCP as a Primary Intervention for Endoscopic Treatment of Patinets With Distal Malignant Biliary Obstruction
NCT04099862 ·Status: COMPLETED
-
EUS-guided Choledochoduodenostomy for Primary Drainage of Malignant Distal Biliary Obstruction
NCT05595122 ·Status: UNKNOWN ·Phase: NA
-
ERCP With and Without EUS Guided HGS for Bilateral Biliary Decompression in Malignant Hilar Biliary Obstruction
NCT06613945 ·Status: RECRUITING ·Phase: NA
-
Improving a Bile Duct Drainage Procedure in Patients With Inoperable Cancer Blocking the Bile Ducts: Comparing Two Types of Endoscopically Placed Internal Stents to Prevent Blockage of a Lumen Apposing Metal Stent
NCT07115420 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Spyglass+RFA Versus Cytobrush+RFA for Extrahepatic Cholangiocarcinoma
NCT05233293 ·Status: UNKNOWN ·Phase: NA
-
Fesibility of EUS-guided Gallbladder Drainage With a New-type of Electrocautery LAMS in the Treatment of Malignant Distal Biliary Obstruction
NCT05271994 ·Status: UNKNOWN
-
Optimizing the Evaluation and Management of Patients With Suspected Choledocholithiasis
NCT05141916 ·Status: RECRUITING
-
SpyGlass Versus ESWL for Large Common Bile Duct Stones
NCT05186350 ·Status: COMPLETED ·Phase: NA