Trials / Not Yet Recruiting
Not Yet RecruitingNCT07329803
Pre-cut Versus Intentional Double Guidewire for ERCP Cannulation: Prospective, Randomized Controlled Trial
- Status
- Not Yet Recruiting
- Phase
- N/A
- Study type
- Interventional
- Enrollment
- 840 (estimated)
- Sponsor
- Asian Institute of Gastroenterology, India · Academic / Other
- Sex
- All
- Age
- 18 Years – 75 Years
- Healthy volunteers
- Not accepted
Summary
Endoscopic retrograde cholangiopancreatography (ERCP) is an indispensable therapeutic procedure in the management of a wide spectrum of pancreaticobiliary disorders, including choledocholithiasis, benign and malignant biliary strictures, pancreatic ductal obstructions, and postoperative bile leaks. The procedure has revolutionized the management of these conditions, often obviating the need for surgery.Precut papillotomy and Double Guidewire Technique (DGT) are both salvage techniques used in ERCP when standard biliary cannulation fails. Precut (Needle-Knife Precut): An endoscopic incision made into the papilla to gain access to the bile duct when conventional methods fail. Intentional Double Guidewire Technique (DGT): A technique where a guidewire is intentionally placed into the pancreatic duct to act as a "guide" or anchor, straightening the biliary axis and allowing a second guidewire to be inserted into the bile duct.
Conditions
- ERCP
- Choledocholithiasis
- Biliary Drainage
- Biliary Strictures Caused by Malignant Neoplasms
- Biliary Stricture
Interventions
| Type | Name | Description |
|---|---|---|
| PROCEDURE | Precut Sphincterotomy | Precut sphincterotomy is an endoscopic rescue cannulation technique in which a needle-knife or similar cutting instrument is used to incise the papillary or periampullary tissue to facilitate access to the bile duct during ERCP. |
| PROCEDURE | Double Guidewire Technique | The double guidewire technique is an endoscopic rescue cannulation method in which a guidewire is placed into the pancreatic duct to stabilize the papilla, followed by attempted biliary cannulation alongside the pancreatic duct guidewire during ERCP. |
Timeline
- Start date
- 2026-01-25
- Primary completion
- 2027-02-28
- Completion
- 2027-02-28
- First posted
- 2026-01-09
- Last updated
- 2026-01-12
Source: ClinicalTrials.gov record NCT07329803. Inclusion in this directory is not an endorsement.