Status:

COMPLETED

Prospective Study to Investigate the Frequency of Possible Bacterial Entry Into the Bloodstream (Bacteremia) and Infectious Complications Associated With the Use of the Spyglass Cholangioscopy System During ERCP (Endoscopic Retrograde Cholangiopancreatography).

Lead Sponsor:

Stanford University

Collaborating Sponsors:

Boston Scientific Corporation

Conditions:

Bile Duct Stricture

Choledocholithiasis

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

The aim of this study is to prospectively evaluate the frequency of bacteremia after ERCP/cholangioscopy using the Spyglass Direct Visualization System. In addition, the frequency of cholangitis/sepsi...

Detailed Description

Rates of bacteremia (bacterial seeding of the blood) following ERCP's range from 6.4% to 18.0%. However, infectious complications of cholangitis/sepsis occur in only 0.5%- 3.0% of patients undergoing ...

Eligibility Criteria

Inclusion

  • Age 18-80
  • Biliary disease such as large stones necessitating electrohydraulic lithotripsy;
  • Biliary strictures needing tissue acquisition through cholangioscopic directed biopsies
  • Pancreatic-biliary malignancies needing tissue acquisition through cholangioscopic directed biopsies
  • Willing and able to comply with the study procedures and provide written informed consent to participate in the study.

Exclusion

  • Age \<18, \> 80
  • Potentially vulnerable subjects including pregnant women, homeless people, employees and students.
  • Patients who have a clear indication for pre-procedure antibiotics based on current ASGE guidelines
  • Patients who had received antibiotics for any reason within the prior 7 days
  • Patients who had evidence of systemic infection at time of the ERCP
  • Patients in whom additional venous access for blood cultures cannot be established.
  • Participation in another investigational study within the previous 90 days

Key Trial Info

Start Date :

August 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2015

Estimated Enrollment :

72 Patients enrolled

Trial Details

Trial ID

NCT01414400

Start Date

August 1 2011

End Date

December 1 2015

Last Update

March 14 2025

Active Locations (1)

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1

Stanford University School of Medicine

Stanford, California, United States, 94305