Pancreatic Cancer Research

Clinical trialNACompleted

LAMS Choledochoduodenostomies: With or Without Coaxial Plastic Stent

Multicenter, Randomized and Comparative Study of Lumen-apposing Metal Stents With or Without Coaxial Plastic Stent for Endoscopic Ultrasound-guided Transmural Biliary Drainage

Outcome
Finished, no results posted
Phase
NA
Status
Completed
Study type
Interventional
Start
17 November 2020
Expected end
17 October 2023
Enrollment
123 participants
Sites
2
Primary outcomes
Safety (Adverse events); Recurrent biliary obstruction (RBO)
Sponsor
Other
Results posted
No
Last update
18 April 2024

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Brief summary public domain (ClinicalTrials.gov)

The aim of the study is to evaluate technical, clinical and safety outcomes of lumen-apposing metal stent (LAMS) with and without a coaxial double-pigtail plastic stent (DPS) in EUS-guided choledochoduodenostomies (CDS) for the management of biliary obstruction.

Detailed description public domain (ClinicalTrials.gov)

The introduction of specific biliary lumen-apposing metal stents (LAMS) represented a great technical improvement in EUS-guided transmural Biliary drainage (BD) of distal malignant biliary obstruction Data is still limited, but recent studies and reviews have been reported with acceptable technical and clinical success. However, some concerns exist regarding its safety, as secondary adverse events There are doubts concerning the possible benefits derived from the insertion of double-pigtail plastic stents (DPS) within the lumen-apposing metal stents (LAMS) in the EUS-guided choledochoduodenostomy (CDS). Our hypothesis is that adding a coaxial plastic stent may offer benefits in terms of safety in CDS.