Unique ID issued by UMIN | UMIN000025463 |
---|---|
Receipt number | R000029295 |
Scientific Title | Safety and efficacy of preoperative biliary drainage using plastic stent above the sphincter of Oddi (Inside-stent) in patients with malignant hilar biliary obstruction: A prospective study |
Date of disclosure of the study information | 2017/01/30 |
Last modified on | 2021/01/04 13:35:41 |
Safety and efficacy of preoperative biliary drainage using plastic stent above the sphincter of Oddi (Inside-stent) in patients with malignant hilar biliary obstruction: A prospective study
Safety and efficacy of preoperative biliary drainage using plastic stent above the sphincter of Oddi (Inside-stent) in patients with malignant hilar biliary obstruction: A prospective study
Safety and efficacy of preoperative biliary drainage using plastic stent above the sphincter of Oddi (Inside-stent) in patients with malignant hilar biliary obstruction: A prospective study
Safety and efficacy of preoperative biliary drainage using plastic stent above the sphincter of Oddi (Inside-stent) in patients with malignant hilar biliary obstruction: A prospective study
Japan |
Resectable malignant hilar biliary obstruction
Hepato-biliary-pancreatic medicine | Hepato-biliary-pancreatic surgery |
Malignancy
NO
To evaluate the efficancy and safety of plastic stent placement above the sphincter of Oddi for patients of resectable malignant hilar biliary obstruction.
Efficacy
Exploratory
Pragmatic
Phase II
Time to recurrent biliary obstruction of inside-sten
1. Overall number of re-intervention after initial biliary drainage
2. Success rate and complication rate of inside-stent placement
3. Recurrent biliary obstruction rate of inside-stent
4. Overall morbidity and infectious complication rate after surgery
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Maneuver |
In undrainage patients, the site of biliary structure was confirmed endoscopically and naso-biliary drainage (ENBD) was performed firstly. After relieve of jaundice, ENBD was exchanged for inside-stent. In patients who had undergone endoscopic biliary drainage in previous hospital, endoscopic examination is performed and the existing stent was exchanged for inside-stent.
20 | years-old | <= |
Not applicable |
Male and Female
1. Resectable biliary tract cancer (intrahepatic, perihilar, or distal cholangiocarcinoma, gallbladder carcinoma) with obstructive jaundice
2. Life expectancy > 3 months
3. Endoscopic preoperative biliary drainage or radical surgery can be performed safely.
4. Endoscopic cholangiography shows the distance from the stricture to the sphincter of Oddi is at least 3cm.
5. Patients of age >= 20 years
6. ECOG performance status of 0-2
7. ASA calassification of 0-2
8. Adequate organ function
9. Written informed consent is required from all patients.
1. History of radiotherapy, chemotherapy or immunotherapy for malignant disease before starting the study treatment
2. Preoperative biliary drainage is not needed.
3. PTBD has been performed at previous hospital.
4. Severe complications such as intestinal pneumonia, pulmonary fibrosis, and heart failure
5. Psychosis or severe mental disorder
6. Pregnant or lactating female and patients who is considering pregnancy
7. Inappropriate patients for entry on this study in the judgement of the investigator
30
1st name | |
Middle name | |
Last name | Akio Saiura |
Japanese foundation for cancer research, Cancer institute hospital
Department of Gastroenterological Surgery
3-8-31 Ariake, Koto-ku, Tokyo, Japan
+81-3-3520-0111
akio.saiura@jfcr.or.jp
1st name | |
Middle name | |
Last name | Yu Takahashi |
Japanese foundation for cancer research, Cancer institute hospital
Department of Gastroenterological Surgery
3-8-31 Ariake, Koto-ku, Tokyo, Japan
+81-3-3520-0111
yu.takahashi@jfcr.or.jp
Japanese foundation for cancer research, Cancer institute hospital
Japanese foundation for cancer research, Cancer institute hospital
Non profit foundation
NO
2017 | Year | 01 | Month | 30 | Day |
Unpublished
Completed
2016 | Year | 12 | Month | 16 | Day |
2016 | Year | 12 | Month | 08 | Day |
2017 | Year | 01 | Month | 01 | Day |
2019 | Year | 03 | Month | 31 | Day |
2016 | Year | 12 | Month | 28 | Day |
2021 | Year | 01 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029295