Age 18 or older
Willing and able to comply with the study procedures and provide written informed consent to participate in the study
Diagnosis of probable pancreatic cancer, distal common bile duct (CBD) cholangiocarcinoma and other periampullary cancers (histology not required)
Biliary obstructive symptoms or signs
Bilirubin level at/above 100 umol per liter (5.8 mg/dL)
Distal biliary obstruction consistent with pancreatic cancer, distal CBD cholangiocarcinoma or other periampullary malignancy
Location of distal biliary obstruction is such that it would allow the proximal end of a stent to be positioned at least 2cm from the hilum
Patients deemed as resectable by pancreatic protocol CT or MRI
Surgical candidate per pancreatobiliary surgeon after multi-disciplinary discussion
Surgery intent within 4 weeks
Endoscopic and surgical treatment to be provided by same team

NCT01774019_inc_T1
Person
Age
NCT01774019_inc_T2
Value
18 or older
NCT01774019_inc_T4
Condition
pancreatic cancer
NCT01774019_inc_T5
Mood
probable
NCT01774019_inc_T6
Condition
distal common bile duct (CBD) cholangiocarcinoma
NCT01774019_inc_T7
Condition
periampullary cancers
NCT01774019_inc_T8
Qualifier
other
NCT01774019_inc_T9
Scope
pancreatic cancer, distal common bile duct (CBD) cholangiocarcinoma and other periampullary cancers
NCT01774019_inc_T10
Condition
Biliary obstructive symptoms
NCT01774019_inc_T11
Condition
iary obstructive sy ns
Bi
NCT01774019_inc_T12
Measurement
Bilirubin level
NCT01774019_inc_T13
Value
at/above 100 umol per liter
NCT01774019_inc_T14
Value
bove 100 mg/dL)
Di
NCT01774019_inc_T15
Condition
Distal biliary obstruction
NCT01774019_inc_T16
Condition
pancreatic cancer
NCT01774019_inc_T17
Condition
distal CBD cholangiocarcinoma
NCT01774019_inc_T18
Condition
periampullary malignancy
NCT01774019_inc_T19
Qualifier
other
NCT01774019_inc_T20
Condition
distal biliary obstruction
NCT01774019_inc_T21
Procedure
stent
NCT01774019_inc_T22
Mood
would allow
NCT01774019_inc_T23
Qualifier
at least 2cm from the hilum
NCT01774019_inc_T24
Condition
deemed as resectable
NCT01774019_inc_T25
Procedure
pancreatic protocol CT
NCT01774019_inc_T26
Procedure
tic protocol CT or gic
NCT01774019_inc_T27
Scope
pancreatic protocol CT or MRI
NCT01774019_inc_T28
Condition
Surgical candidate
NCT01774019_inc_T29
Qualifier
per pancreatobiliary surgeon
NCT01774019_inc_T30
Procedure
Surgery
NCT01774019_inc_T31
Mood
intent
NCT01774019_inc_T32
Temporal
within 4 weeks
NCT01774019_inc_T33
Procedure
surgical treatment
NCT01774019_inc_T34
Procedure
 and surg to be pro