| Unique ID issued by UMIN | UMIN000055173 |
|---|---|
| Receipt number | R000063040 |
| Scientific Title | Preoperative biliary drainage by endoscopic ultrasound guided hepaticogastrostomy for resectable/resectable borderline pancreatic cancer with biliary obstruction: prospective observational study |
| Date of disclosure of the study information | 2024/08/13 |
| Last modified on | 2025/08/27 02:11:37 |
Preoperative biliary drainage by endoscopic ultrasound guided hepaticogastrostomy for resectable/resectable borderline pancreatic cancer with biliary obstruction: prospective observational study
Preoperative biliary drainage by endoscopic ultrasound guided hepaticogastrostomy for resectable/resectable borderline pancreatic cancer with biliary obstruction: prospective observational study
Preoperative biliary drainage by endoscopic ultrasound guided hepaticogastrostomy for resectable/resectable borderline pancreatic cancer with biliary obstruction: prospective observational study
Preoperative biliary drainage by endoscopic ultrasound guided hepaticogastrostomy for resectable/resectable borderline pancreatic cancer with biliary obstruction: prospective observational study
| Japan |
Pancreatic cancer
| Hepato-biliary-pancreatic medicine |
Malignancy
NO
The purpose of this study is to evaluate the safety and efficacy of preoperative biliary drainage by endoscopic ultrasound-guided hepaticogastrostomy in patients with resectable/resectable borderline pancreatic cancer with biliary obstruction.
Safety,Efficacy
Clinical success rate
Observational
| 18 | years-old | <= |
| Not applicable |
Male and Female
1) The patient is clinically judged to require biliary drainage due to biliary obstruction caused by pancreatic cancer.
2) The patient is scheduled for biliary drainage by EUS-HGS.
3) Biliary obstruction due to pancreatic cancer is 2 cm below the porta hepatis on the papillary side.
4) There is no history of endoscopic biliary drainage for biliary obstruction due to pancreatic cancer.
5) Invasive pancreatic ductal carcinoma is suspected based on contrast-enhanced CT scan.
If contrast-enhanced CT is not available, MRI or EUS is acceptable in addition to simple CT.
6) Pancreatic cancer is evaluated as resectable or borderline resectable by contrast-enhanced CT scan.
If contrast-enhanced CT is not available, MRI or EUS is acceptable in addition to simple CT.
7) One of the following (1), (2), or (3) is met.
(1) Total bilirubin greater than 1.5 mg/dl, (2) AST greater than 100 U/L, (3) ALT greater than 100 U/L
8) The patient does not have parenchymal jaundice.
9) If the patient is taking antithrombotic medication, it can be withdrawn according to our criteria.
10) No bleeding tendency.
11) ECOG Performance Status less than or equal to 2.
12) Patients must be at least 18 years of age at the time of consent.
13) Written consent for participation in the study has been obtained from the patient.
1) The patient is judged by a physician to be inappropriate for enrollment in this study.
2) The patient has a severe case of acute cholangitis according to the severity classification of acute cholangitis.
3) Patients with biliary obstruction due to pancreatic cancer within 2 cm just below the porta hepatis.
4) The patient has a reconstructed intestinal tract after upper gastrointestinal surgery and anatomy does not allow drainage of the biliary tract by EUS-HGS.
5) Patient is anatomically unable to puncture the bile duct in the outer left lobe of the liver, such as after hepatectomy.
30
| 1st name | Susumu |
| Middle name | |
| Last name | Hijioka |
National Cancer Center Hospital
Department of Hepatobiliary and Pancreatic Oncology
104-0045
5-1-1, Tsukiji, Chuo-ku, Tokyo, Japan
03-3542-2511
shijoka@ncc.go.jp
| 1st name | Shin |
| Middle name | |
| Last name | Yagi |
National Cancer Center Hospital
Department of Hepatobiliary and Pancreatic Oncology
104-0045
5-1-1, Tsukiji, Chuo-ku, Tokyo, Japan
03-3542-2511
shyag@ncc.go.jp
National Cancer Center Hospital
National Cancer Center Hospital
Other
National Cancer Center Hospital
5-1-1, Tsukiji, Chuo-ku, Tokyo, Japan
03-3542-2511
shijoka@ncc.go.jp
NO
| 2024 | Year | 08 | Month | 13 | Day |
Unpublished
Deidentified individual participant data that support the findings of this study (including baseline characteristics, procedural details, and outcome measures) will be available from the corresponding author upon reasonable request. The study protocol and informed consent form will also be shared as supplementary materials. Data will be available beginning at the time of publication with no end date. Requestors will need to provide a methodologically sound proposal and obtain approval from the institutional review board.
Open public recruiting
| 2024 | Year | 07 | Month | 25 | Day |
| 2024 | Year | 07 | Month | 25 | Day |
| 2024 | Year | 07 | Month | 25 | Day |
| 2027 | Year | 01 | Month | 01 | Day |
The purpose of this study is to evaluate the safety and efficacy of preoperative biliary drainage by endoscopic ultrasound-guided hepaticogastrostomy in patients with resectable/resectable borderline pancreatic cancer with biliary obstruction.
| 2024 | Year | 08 | Month | 06 | Day |
| 2025 | Year | 08 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063040