Comparison Between Internal and External Preoperative Biliary Drainage in Periampullary Cancers

NCT ID: NCT01134276

Last Updated: 2014-06-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

211 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2013-05-31

Brief Summary

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Preoperative biliary drainage methods include percutaneous transhepatic biliary drainage (PTBD), endoscopic nasobiliary drainage (ENBD), and endoscopic retrograde biliary drainage (ERBD). Endoscopic biliary drainages often induce peritumoral inflammation and it increase difficulties in determining a proper resection margin. The purpose of this study is to compare the clinicopathological outcomes according to the methods of preoperative biliary drainage in periampullary cancers causing obstructive jaundice, and to find out a proper biliary drainage method.

Detailed Description

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Conditions

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Periampullary Cancers With Obstructive Jaundice Pancreas Head Cancer Bile Duct Cancer Ampulla of Vater Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PTBD

biliary drainage : PTBD procedure for obstructive jaundice in patients with periampullary cancer

Group Type ACTIVE_COMPARATOR

biliary drainage

Intervention Type PROCEDURE

biliary drainage via PTBD or ERBD/ENBD

ERBD

biliary drainage : ERBD/ENBD procedure for obstructive jaundice in patients with periampullary cancer

Group Type ACTIVE_COMPARATOR

biliary drainage

Intervention Type PROCEDURE

biliary drainage via PTBD or ERBD/ENBD

Interventions

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biliary drainage

biliary drainage via PTBD or ERBD/ENBD

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patient who have periampullary tumors causing obstructive jaundice
* patient age: ≥20 and ≤85
* resectable state of disease
* no history of previous chemotherapy or radiotherapy
* patients without uncontrollable severe cardiovascular, respiratory disease
* Karnofsky performance scale ≥70
* informed consent

Exclusion Criteria

* patients with distant metastasis or locally advanced disease with major vascular invasion
* duodenal cancer
* biliary drainage before randomization
* previous chemotherapy or radiotherapy
* uncontrollable active infection except cholangitis
* severe comorbid disease (cardiac, pulmonary, cerebrovascular)
Minimum Eligible Age

20 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Sun-Whe Kim

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Department of Surgery, Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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van der Gaag NA, de Castro SM, Rauws EA, Bruno MJ, van Eijck CH, Kuipers EJ, Gerritsen JJ, Rutten JP, Greve JW, Hesselink EJ, Klinkenbijl JH, Rinkes IH, Boerma D, Bonsing BA, van Laarhoven CJ, Kubben FJ, van der Harst E, Sosef MN, Bosscha K, de Hingh IH, Th de Wit L, van Delden OM, Busch OR, van Gulik TM, Bossuyt PM, Gouma DJ. Preoperative biliary drainage for periampullary tumors causing obstructive jaundice; DRainage vs. (direct) OPeration (DROP-trial). BMC Surg. 2007 Mar 12;7:3. doi: 10.1186/1471-2482-7-3.

Reference Type BACKGROUND
PMID: 17352805 (View on PubMed)

Speer AG, Cotton PB, Russell RC, Mason RR, Hatfield AR, Leung JW, MacRae KD, Houghton J, Lennon CA. Randomised trial of endoscopic versus percutaneous stent insertion in malignant obstructive jaundice. Lancet. 1987 Jul 11;2(8550):57-62. doi: 10.1016/s0140-6736(87)92733-4.

Reference Type BACKGROUND
PMID: 2439854 (View on PubMed)

Sewnath ME, Karsten TM, Prins MH, Rauws EJ, Obertop H, Gouma DJ. A meta-analysis on the efficacy of preoperative biliary drainage for tumors causing obstructive jaundice. Ann Surg. 2002 Jul;236(1):17-27. doi: 10.1097/00000658-200207000-00005.

Reference Type BACKGROUND
PMID: 12131081 (View on PubMed)

Saiki S, Chijiiwa K, Komura M, Yamaguchi K, Kuroki S, Tanaka M. Preoperative internal biliary drainage is superior to external biliary drainage in liver regeneration and function after hepatectomy in obstructive jaundiced rats. Ann Surg. 1999 Nov;230(5):655-62. doi: 10.1097/00000658-199911000-00007.

Reference Type BACKGROUND
PMID: 10561089 (View on PubMed)

Other Identifiers

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H-1001-047-307

Identifier Type: -

Identifier Source: org_study_id

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