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ERCP with brush cytology has a poor to moderate accuracy in unclear biliary lesions. Endoscopic ultrasound (EUS) with fine needle aspiration (FNA) for cytology may override some of these shortcomings.
The current prospective study, performed in a tertiary University center, aims to study the feasibility, the accuracy and the clinical value of combinatory ERCP and EUS in unclear biliary lesions.
The eligible study participants with unclear biliary lesions referred for an ERCP to the Sahlgrenska Univeristy Hospital endoscopy unit will be subjected to ERCP with/without brush cytology followed by EUS with/without FNA.
The results of ERCP and EUS will be compared to the pathology report of surgical specimens in resected patients or to clinical follow up at 12 months post-EUS in non-resected patients.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Combinatory EUS and ERCP | Procedure | EUS performed as a supplementary procedure in addition to ERCP |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic accuracy | Overall accuracy of ERCP and EUS | 12 months post-EUS |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse event rate | The number of patients ending up with some type of complication related to ERCP or EUS | 30 days post-EUS |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with unclear lesions or strictures in the biliary tract
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| Name | Affiliation | Role |
|---|---|---|
| Riadh Sadik, Ass Prof | Sahlgrenska University Hospital, Gothenburg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sahlgrenska University Hospital | Gothenburg | 413 45 | Sweden |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D001661 | Biliary Tract Neoplasms |
| D001660 | Biliary Tract Diseases |
| ID | Term |
|---|---|
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D002760 | Cholangiopancreatography, Endoscopic Retrograde |
| ID | Term |
|---|---|
| D002758 | Cholangiography |
| D011860 | Radiography, Abdominal |
| D011859 | Radiography |
| D003952 | Diagnostic Imaging |
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| D019937 |
| Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D003938 | Diagnostic Techniques, Digestive System |
| D016145 | Endoscopy, Digestive System |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019060 | Minimally Invasive Surgical Procedures |