Left Lateral Position and Prone Position for Endoscopic Retrograde Cholangiopancreatography
Choledocholithiasis
About this trial
This is an interventional treatment trial for Choledocholithiasis focused on measuring endoscopic retrograde cholangiopancreatography, position
Eligibility Criteria
Inclusion Criteria:
All of followings:
Any of following indications for ERCP
① Common bile duct stone
② Gallstone pancreatitis
③ Obstructive jaundice due to malignancy (ex. Pancreas cancer, bile duct cancer, ampulla of Vater cancer)
④ Common bile duct invasion metastasis of other organ malignancy (ex. Hepatocellular carcinoma with bile duct invasion, metastatic lymphadenopathy with bile duct invasion from malignancy other than pancreaticobiliary malignancy)
⑤ Benign biliary stricture
- Naïve papilla
Aged over 20 years
Exclusion Criteria:
Any of followings:
- History of endoscopic retrograde cholangiopancreatography
- Altered gastric and duodenal anatomy due to intra-abdominal surgery (ex. Billroth gastrectomy, total gastrectomy)
- Patients with severe infection or hemodynamic unstable (ex. septic shock, intubation, ventilator, inotropics)
- Recent myocardial infarction (within 6 months) or uncontrolled arrhythmia, unstable angina, or congestive heart failure
- Severe neurologic disease
- Patients with possible prone position (ex. severe abdominal pain, severe abdominal distension, large amount of ascites, recent intra-abdominal surgery, neck surgery, intra-abdominal catheter insertion, severe obesity)
Sites / Locations
- Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Left lateral position
Prone position
Endoscopic retrograde cholangiopancreatography is performed in left lateral position in this group.
Endoscopic retrograde cholangiopancreatography is performed in prone position in this group.