Covered self expandable metal stents (CSEMS) are three times larger in diameter than 10 Fr plastic stents. When compared to plastic stents, randomized trials have shown longer patency and fewer stent-related complications for CSEMS. The investigators hypothesize that placement of CSEMS would be a better treatment option for preoperative biliary decompression in patients with pancreatic cancer.
Covered self expandable metal stents (CSEMS) are three times larger in diameter than 10 Fr plastic stents. When compared to plastic stents, randomized trials have shown longer patency and fewer stent-related complications for CSEMS. The investigators hypothesize that placement of CSEMS would be a better treatment option for preoperative biliary decompression in patients with pancreatic cancer as there will be better drainage of the obstructed biliary system with fewer adverse events.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
61
Patients with pancreatic cancer causing bile duct obstruction will be treated by placement of a metal stent.
Patients with pancreatic cancer causing bile duct obstruction will be treated by placement of a 10Fr plastic stent.
AdventHealth
Orlando, Florida, United States
Complications related to stent dysfunction
Complications related to stent dysfunction which include hyperbilirubinemia or cholangitis that warrant stent exchange (repeat intervention by ERCP)
Time frame: 30 days
Procedural complications
Complications related to the procedure which includes pancreatitis, perforation or hemorrhage.
Time frame: 30 days
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