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ERCP With and Without EUS Guided HGS for Bilateral Biliary Decompression in Malignant Hilar Biliary Obstruction
Sponsor: Mansoura University
Summary
A prospective randomized clinical trial to evaluate efficacy and safety of combined EUS-HGS and ERCP compared to ERCP for bilateral biliary decompression in advanced malignant hilar biliary obstruction. The primary outcome will be technical success, clinical success, procedural duration, and re-interventions. Secondary outcomes will be the rate of adverse events. patients will be followed up at 1 and 3 month intervals
Official title: Endoscopic Retrograde Cholangiopancreatography With and Without Endoscopic Ultrasound Guided Hepaticogastrostomy for Bilateral Biliary Decompression in Malignant Hilar Biliary Obstruction
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
72
Start Date
2024-09-01
Completion Date
2026-10-30
Last Updated
2024-09-26
Healthy Volunteers
No
Conditions
Interventions
ERCP biliary drainage
bilateral metallic stents insertion will be attempted through ERCP to secure biliary drainage
Combined ERCP and EUS-HGS biliary drainage
unilateral metallic stent will be inserted on right side by ERCP and a hepaticogastrostomy transmural stent will be inserted on left side by EUS to secure biliary drainage.
Locations (1)
Mansoura univeristy
Al Mansurah, Dakahlia Governorate, Egypt