Feasibility of Endoscopic Ultrasound Based Biliary Stone Removal Without Fluoroscopy

California Pacific Medical Center Research Institute33 enrolled

Overview

To assess the feasibility and success of endoscopic ultrasound (EUS) directed biliary stone removal without use of fluoroscopy. Success for this study will be defined as the successful removal of all stones from the bile duct without the use of fluoroscopy. Fluoroscopy will only be used at the end of a presumed successful procedure to confirm that all stones are removed.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Common Bile Duct Gall Stones

Interventions

Common bile duct stone removal without fluoroscopy.PROCEDURE

ERCP stone extraction technique without fluoroscopy involves: (1) catheter or catheter with wire access into the bile duct, (2) confirmation of biliary access with catheter aspiration of bile, (3) performance of endoscopic biliary sphincterotomy or balloon dilation to widen the bile duct opening to permit stone removal, (4) stone removal - number of stones seen on EUS should match the number removed.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients able to give informed consent * Patients referred to IES for the endoscopic evaluation and treatment of suspected bile duct stones Exclusion Criteria: * Patients with \>3 bile duct stones or with any stone \>12mm on EUS * Patients with no bile duct stones on EUS * Patients with altered biliary anatomy (periampullary diverticulum, anomalous pancreatibiliary junction, altered surgical anatomy) * Patients who are pregnant or breast-feeding

Locations (1)

California Pacific Medical Center

San Francisco, California, United States

Outcomes

Primary Outcomes

Successful removal of all stones from the bile duct without the use of fluoroscopy.

Time frame: Up to 24 hours.

Data from ClinicalTrials.gov

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