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The management of hilar biliary strictures remains difficult. These strictures are classified in 4 types (I,II,III and IV). In palliative cases, an endoscopic drainage should be performed in types I and II while a percutaneous drainage is performed in type IV. There is controversy as to whether partial or complete liver drainage should be done. Furthermore there are no standards for drainage types (metallic stents, plastic stents). Morbidity remains high and a multistage procedure can be required.
This study aims at evaluating the clinical practices in the investigators' center in order to determine the key factors that contribute to the drainage success or failure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with a hilar biliary stricture requiring a drainage | Drainage performed by endoscopy, echo-endoscopy or percutaneously |
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| Measure | Description | Time Frame |
|---|---|---|
| Efficacy evaluated by the need for re-interventions | Number of re-interventions | up to 2 years |
| Efficacy evaluated by the need for re-hospitalization | Number of re-hospitalization | up to 2 years |
| Efficacy evaluated by complete or partial liver drainage | realization of complete or partial liver drainage | up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Toxicity: Occurrence of drainage complications (sepsis, hemorrhage) | Occurrence of drainage complications (sepsis, hemorrhage) | up to 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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Patient with a hilar biliary strictures requiring a drainage
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dominique Genre, MD | Contact | 0033491223778 | drci.up@ipc.unicancer.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institut Paoli Calmettes | Recruiting | Marseille | Bouches du Rhone | 13009 | France |
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