Efficacy of Double Wire Technique in Difficult Cases of Common Bile Duct Cannulation in ERCP (UDOGUIA-04)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00270868
Recruitment Status : Unknown
Verified October 2006 by Puerta de Hierro University Hospital.
Recruitment status was:  Active, not recruiting
First Posted : December 28, 2005
Last Update Posted : October 18, 2006
Carlos III Health Institute
Information provided by:
Puerta de Hierro University Hospital

Brief Summary:
The purpose of this study is to determine if the double guide wire technique is more effective than the conventional method in those cases of difficult selective biliary cannulation in the ERCP procedures.

Condition or disease Intervention/treatment
Bile Duct Diseases Procedure: Double guide wire technique Procedure: Standard bile duct cannulation

Detailed Description:

Complications associated with ERCP have been related with certain characteristics of the procedure. One is the number of attempts of selective biliary cannulation. Our hypothesis is that double guide wire placement could be a useful technique for selective biliary cannulation in those cases of difficult ERCP procedures, reducing the number of cannulation attempts and the complication associated with the procedure.

We are conducting a controlled prospective multicentre randomized study to compare the double guide wire technique with the conventional method in two groups previously randomized after presenting a difficult selective biliary cannulation under the conventional method. The study is carried out in six public Hospitals from Spain. Assignation is concealed to both groups, and the expected study period is 18 months for a number of randomized patients equal or over 262 (statistical power of 90% with an α-error of 0.05, to detect a success rate of 74% in the group undergoing double guide wire technique against a success rate of 60% in the control group). The main outcome variables are successful selective biliary cannulation (primary outcome variable), number of attempts and morbimortality associated in both groups (secondary outcome variables).

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 1050 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single
Primary Purpose: Treatment
Official Title: Double Guide Wire Placement Compared With Conventional Method in Cases of Difficult Common Bile Duct Cannulation in Endoscopic Retrograde Cholangiopancreatography Procedures. A Controlled Multicentred Randomized Trial.
Study Start Date : November 2004
Estimated Study Completion Date : November 2006

Primary Outcome Measures :
  1. Percentage of successful selective biliary cannulation

Secondary Outcome Measures :
  1. Number of attempts and time of cannulation.
  2. Morbimortality associated in both groups at hospital discharge and 4 weeks after ERCP procedure
  3. Factors associated with successful cannulation for both techniques

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age over 18 years
  • Clinical and/or radiological suspicion of Bile Duct Diseases which require ERCP procedure with intention of selective biliary cannulation
  • Patients must be admitted in the participant hospitals of the investigators units
  • Written informed consent of the patient, relative or legal tutor

Exclusion Criteria:

  • Previous biliary or pancreatic sphincterotomy
  • Previous pneumatic dilatation of duodenal papilla
  • Presence of biliary-digestive derivation
  • Previous diagnosis or suspected pancreas divisum
  • Use of any biliary or pancreatic stent in the last 6 months
  • Use of any drug aimed to reduce post-ERCP pancreatitis
  • Pregnancy or maternal feeding
  • Previous inclusion in the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00270868

Central Hospital of Asturias
Oviedo, Asturias, Spain, 33006
León Hospital
Leon, León, Spain, 24071
Alcorcón Hospital Foundation
Alcorcón, Madrid, Spain, 28922
Navarra Hospital
Pamplona, Navarra, Spain, 31008
Puerta de Hierro University Hospital
Madrid, Spain, 28035
La Fe University Hospital
Valencia, Spain, 46009
Sponsors and Collaborators
Puerta de Hierro University Hospital
Carlos III Health Institute
Principal Investigator: Luis E Abreu, MD Puerta de Hierro University Hospital. Madrid Health Service, Spain


Publications automatically indexed to this study by Identifier (NCT Number): Identifier: NCT00270868     History of Changes
Other Study ID Numbers: PI 04/1942
First Posted: December 28, 2005    Key Record Dates
Last Update Posted: October 18, 2006
Last Verified: October 2006

Keywords provided by Puerta de Hierro University Hospital:
Double guide wire technique
Difficult selective biliary cannulation
Attempts of cannulation
Post-ERCP complications.

Additional relevant MeSH terms:
Bile Duct Diseases
Biliary Tract Diseases
Digestive System Diseases