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NCT04037007Recruiting

Efficacy of Fistulotomy for Biliary Cannulation

Efficacy and Safety of Precut Fistulotomy vs Conventional Cannulation Technique as a Primary Approach to Biliary Access According to the Endoscopist Experience Degree in ERCP

Source: ClinicalTrials.gov · Last updated 1 May 2025 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

Access to the main bile duct is the first step in order to perform a therapeutic maneuver for biliary diseases. Early precut has been shown to ameliorate cannulation success rate, specially in difficult cannulation cases, when compared to guidewire cannulation (which is considered, for most, the standard technique). We aim to perform a randomized clinical trial comparing fistulotomy (F) precut vs guidewire cannulation (CC), as a primary cannulation technique, and compare outcomes between high experienced endoscopists (\> 200 ERCPs\[Endoscopic Retrograde cholangiopancreatography\]) and low experienced endoscopists (\< 200 ERCPs).

Status (registry)
Recruiting
Study type
Interventional
Enrollment
320 (estimated)
First submitted
26 Jul 2019
Start date
3 Jul 2019
Primary completion date
1 Dec 2026
Lead sponsor
Coordinación de Investigación en Salud, Mexico
NCT number
NCT04037007

What you commit to

  • Study type: Interventional
  • Planned participants: 320
  • From 3 Jul 2019 to the primary completion date, 1 Dec 2026
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Lab values

  • 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.

Who the study is looking for

  • All patients undergoing ERCP with suspected or confirmed of choledocholithiasis, malignant and benign biliary stenosis.

Age in the registry: 18 years to 90 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Centro Medico Nacional Siglo XXI Hospital de Especialidades
Coordinator of this site? Confirm its status
Mexico CityMexicoRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.