Comparison of Double Wire Technique With Pancreatic Duct Stent Placement for Difficult Bile Duct Cannulation

The Washington University

Status: Completed

Conditions: Bile Duct Cannulation; Endoscopic Retrograde Cholangiopancreatography (ERCP)

Treatments: Procedure: Pancreatic duct stent; Procedure: Pancreatic wire placement

Study type: Interventional

Funder types: Other

Identifiers

NCT00919074

08-0831

Details and patient eligibility

About

This research project will compare the use of the double wire technique with the placement of a pancreatic duct (PD) stent to achieve deep biliary cannulation without the use of a precut papillotomy. Currently, the data supporting either of these approaches is limited to the referenced case series. More data on the success and complication rates of these techniques are needed. The investigators believe either of these approaches would be preferred by less experienced endoscopists to precut papillotomy. Consequently, it is important to differentiate these techniques and identify which patients may benefit from one or both.

Enrollment: 87 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• First time ERCP

Exclusion criteria

• Successful bile duct cannulation within six minutes
• Planned pancreatic duct therapy
• Planned pancreatobiliary manometry
• Prior successful ERCP

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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87 participants in 2 patient groups

Pancreatic duct stent

Active Comparator group

Description:

Placement of a pancreatic duct stent to facilitate bile duct cannulation

Treatment:

Procedure: Pancreatic duct stent

Pancreatic wire

Active Comparator group

Description:

Placement of a guidewire into the pancreatic duct to facilitate bile duct cannulation.

Treatment:

Procedure: Pancreatic wire placement