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This retrospective monocentric study aims at comparing multimodality endoscopic biliary drainage versus percutaneous radiologic biliary drainage in case of perihilar malignant obstruction.
Data from patients admitted in the Nancy University Hospital, France, between january 2016 and march 2022 with jaundice and perihilar obstruction will be retrospectively collected.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Endoscopic drainage | All patients with perihilar malignant biliary obstruction treated with endoscopic drainage. This drainage can be multimodal using endoscopic retrograde cholangiopancreatography (ERCP) or endoscopic ultrasound (EUS)-guided biliary drainage. |
| |
| Radiologic percutaneous drainage | All patients with perihilar malignant biliary obstruction treated with percutaneous drainage |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Endoscopic drainage | Procedure | ERCP and/or EUS-guided biliary drainage |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Bilirubin serum level | Diminution of 20% of more on day 7 of the bilirubin serum level | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Complications | complication-free survival | 16 years |
| number of procedures | total number of procedures, including all endoscopic and radiological interventions |
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Inclusion Criteria:
Exclusion Criteria:
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all adults patients hospitalized in Nancy University Hospital with perihilar biliary malignant obstruction who underwent either endoscopic or percutaneous approach for biliary drainage.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nancy Hospital Center | Nancy | 54000 | France |
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| ID | Term |
|---|---|
| D018285 | Klatskin Tumor |
| D041781 | Jaundice, Obstructive |
| ID | Term |
|---|---|
| D018281 | Cholangiocarcinoma |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
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| Percutaneous transhepatic biliary drainage |
| Procedure |
US or CT-guided percutaneous drainage |
|
| 16 years |
| bilirubin serum level on day 30 and on day 90 | 90 days |
| median survival in months | median survival in month in each group | 16 years |
| number of unplanned hospital admissions | total number of unplanned hospital admissions (for unplanned biliary drainage, cholangitis or other complications...) | 16 years |
| D009370 |
| Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D007565 | Jaundice |
| D006932 | Hyperbilirubinemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |