The purpose of this study is to investigate the likelihood of post-dilation bleeding using mechanical or electrocautery dilation. We hypothesized that the risk of bleeding is lower in the mechanical group.
Failed ERCP
The papilla is inaccessible owing to a surgically altered anatomy or gastric outlet obstruction
Contraindications for PTCD such as ascites and possibility of self-tube removal
Patients younger than 18 years old
Cancer infiltration of the gastric/duodenal wall within the planned puncture route
Patients with uncorrectable coagulopathy
Patients with unmanageable ascites
National Taiwan University Hospital
Lead sponsor
National Taiwan University Hospital Hsin-Chu Branch
Collaborator
Taichung Veterans General Hospital
Collaborator
Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
Collaborator
Far Eastern Memorial Hospital
Collaborator
China Medical University Hospital
Collaborator
Chung Shan Medical University
Collaborator
Taitung Mackay Memorial Hospital
Collaborator
National Cheng-Kung University Hospital
Collaborator
Chang Gung Memorial Hospital
Collaborator
Shin Kong Wu Ho-Su Memorial Hospital
Collaborator