Status:

COMPLETED

Comparison of Metal and Plastic Stents for Preoperative Biliary Decompression

Lead Sponsor:

AdventHealth

Collaborating Sponsors:

University of Virginia

Conditions:

Obstructive Jaundice

Pancreatic Cancer

Eligibility:

All Genders

19-85 years

Phase:

NA

Brief Summary

Covered self expandable metal stents (CSEMS) are three times larger in diameter than 10 Fr plastic stents. When compared to plastic stents, randomized trials have shown longer patency and fewer stent-...

Detailed Description

Covered self expandable metal stents (CSEMS) are three times larger in diameter than 10 Fr plastic stents. When compared to plastic stents, randomized trials have shown longer patency and fewer stent-...

Eligibility Criteria

Inclusion

  • Patients with pancreatic cancer and mass in the head of pancreas causing jaundice.
  • Patients 19 yrs of age and older
  • Serum bilirubin \> 2mg/dl
  • CT: No evidence of distant metastasis or local vascular invasion (tumor surrounding portal or mesenteric vessels for more than 180 degrees of their circumference or an irregular vessel margin).

Exclusion

  • Karnofsky score \< 60
  • Prior (ERCP or PTC) attempts at biliary decompression for the same indication
  • Tumor-related gastric outlet obstruction (vomiting and oral intake of \< 1L/day)
  • Ongoing or planned neoadjuvant therapy
  • Cholangitis at presentation or coagulopathy needing reversal medication
  • Post-surgical anatomy
  • Multiple extra-hepatic biliary strictures or concomitant stricture in liver hilum
  • Failed ERCP's (Definition: Inability to deploy a biliary stent thereby requiring a PTC or surgery).

Key Trial Info

Start Date :

July 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 13 2022

Estimated Enrollment :

61 Patients enrolled

Trial Details

Trial ID

NCT01191814

Start Date

July 1 2010

End Date

October 13 2022

Last Update

July 12 2023

Active Locations (1)

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1

AdventHealth

Orlando, Florida, United States, 32814