Efficacy of Fistulotomy for Biliary Cannulation
Cholangiocarcinoma, Choledocholithiasis; Cholangitis, Pancreatic Cancer
About this trial
This is an interventional treatment trial for Cholangiocarcinoma focused on measuring Precut sphincterotomy, Fistulotomy, Biliary cannulation, Efficacy
Eligibility Criteria
Inclusion Criteria:
- All patients undergoing ERCP with suspected or confirmed of choledocholithiasis, malignant and benign biliary stenosis.
Exclusion Criteria:
- patients with previous ERCP, altered gastro-duodenal anatomy by previous surgery, suspicion or diagnosis of ampullary neoplasm, duodenal cancer, periampullary diverticula types 1 and 2, pregnant women, coagulopathy with INR greater than 1.5.
Elimination Criteria:
- Incomplete procedure due to anesthesia adverse events.
Sites / Locations
- Centro Medico Nacional Siglo XXI Hospital de EspecialidadesRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Fistulotomy - High experienced
Fistulotomy - Low experienced
Conventional (guidewire) cannulation- High experience
Conventional (guidewire) cannulation - Low experienced.
Fistulotomy precut with a needle knife, ERBE Endocut I, Effect 2; as the primary cannulation technique in high experienced endoscopists.
Fistulotomy precut with a needle knife, ERBE Endocut I, Effect 2; as the primary cannulation technique in low experienced endoscopists.
Conventional cannulation with an sphincterotome and 0.035 inch hydrophilic tip guidewire as the primary cannulation technique in high experienced endoscopists.
Conventional cannulation with an sphincterotome and 0.035 inch hydrophilic tip guidewire as the primary cannulation technique in low experienced endoscopists.