Pancreatic Cancer Research

Clinical trialNACompleted

EUS Biliary Drainage vs. ERCP

EUS-guided Biliary Drainage of First Intent With the Lumen Apposing Metal Stent vs. ERCP in the Management of Malignant Distal Biliary Obstruction: a Randomized Controlled Trial

NCT03870386↗ ClinicalTrials.gov, retrieved 6 November 2026

Outcome
Finished, no results posted
Phase
NA
Status
Completed
Study type
Interventional
Start
8 March 2019
Expected end
1 July 2023
Enrollment
144 participants
Sites
11
Primary outcomes
Rate of re-intervention
Sponsor
Other
Results posted
No
Last update
14 August 2023

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Brief summary public domain (ClinicalTrials.gov)

Endoscopic ultrasound guided biliary drainage (EUS-BD) is an evolving field that has grown in popularity in the management of malignant biliary obstruction. Although Endoscopic retrograde cholangio-pancreatography (ERCP) with stent insertion has been the mainstay therapy throughout several decades, the transpapillary approach through tumor tissue is associated with significant risk for adverse events such as post-ERCP pancreatitis and stent dysfunction from tumor tissue overgrowth and ingrowth. EUS-BD, through the creation of a choledochoduodenostomy with a stent, has the potential advantage of avoiding the papilla and its associated complications while potentially improving stent patency with lower risks for tumor tissue ingrowth and/or overgrowth.

Papers 8