EUS-guided Entero-biliary Anastomosis for Therapeutic Access in Benign Biliary Obstructions

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorHospital del Rio Hortega

About this trial

Background: Transpapillary EUS-BD (rendezvous/antegrade) is gaining acceptance in BBO. The potential of transmural EUS-BD (hepaticogastrostomy/choledochoduodenostomy) in complex BBO warrants study.

Aims: To assess feasibility and efficacy of TEA using transmural covered self-expandable metal-stents (cSEMS) to provide interval biliary drainage and create TAF for biliary endotherapy under cholangioscopy or fluoroscopy in BBO not amenable to ERCP.

Eligibility criteria

Qualifiers

• Consecutive patients ≥ 18 years old.

Benign biliary obstruction.

ERCP failed or where ERCP could not be performed due to surgically-altered anatomy

Disqualifiers

• Refusal to sign the informed consent.

Malignant biliary obstruction

Coagulopathy (INR>1.5) or trombocytopenia (<50,000 platelets/mm3) uncorrectable.

Inability to tolerate the sedation necessary for the examination.

Trial design

Treatments tested in this trial

  • EUS-guided Entero-biliary Anastomosis

Treatment groups

50 Participants
are divided into 1 treatment group

Sponsors and collaborators