A Study on Precutting Methods of Endoscopic Submucosal Dissection for Gastric Neoplasms Located at Lesser Curvature Side of Antrum

Gastric Adenoma and Early Gastric Cancer Clinical Trial

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT02245971
• Other study ID #: 4-2014-0380
• Status: Withdrawn
• Phase: N/A
• Start date: July 26, 2013
• Est. completion date: August 12, 2014

Study information

• Verified date: January 2019
• Source: Yonsei University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Endoscopic submucosal dissection (ESD) is an advanced technique that enables en bloc resection of superficial tumors in the gastrointestinal tract. ESD, however, is a time-consuming procedure that requires a high level of endoscopic skill to achieve a desirable oncologic outcome. Especially, ESD for the lesion which is located in the antrum of lesser curvature side is difficult. Because the antrum of lesser curvature side is dependent position, irrigated water and blood may prevent visual field of ESD.

Generally, whole precutting around the lesion during the ESD is performed prior to dissection. However, it is expected that partial precutting method for the lesion located in the antrum of the lesser curvature may improve the visibility of ESD because it can help us the flap of the lesion evaginated easily. Therefore, we aimed to evaluate the procedure time of ESD for the lesion located in the antrum of the lesser curvature according to the precutting methods (whole precutting vs. partial precutting).

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: August 12, 2014
• Est. primary completion date: August 12, 2014
• Accepts healthy volunteers: No
• Gender: All
• Age group: 19 Years and older

Eligibility

Inclusion Criteria:

1. Over 19 years old

2. Patients with gastric adenoma or early gastric cancer

Exclusion Criteria:

1. Patients who has undergone subtotal gastrectomy

2. Patients who has undergone gastrostomy

3. Patients with local recurred gastric adenoma or early gastric cancer

Related Conditions & MeSH terms

• Adenoma
• Gastric Adenoma and Early Gastric Cancer
• Stomach Neoplasms

Intervention

Procedure:
• Partial precutting
Partial precutting will be performed prior to dissection during the ESD.
• Whole precutting
Whole precutting will be performed prior to dissection during the ESD.

Locations

Country	Name	City	State
Korea, Republic of	Sevrance hospital	Seoul

Sponsors (1)

Lead Sponsor	Collaborator
Yonsei University

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	complete resection rate	complete resection rate according to the precutting methods.	Within 7 days after the procedure
Primary	Procedure time	Procedure time for the lesion located in the antrum of lesser curvature according to the precutting methods.	Within 5 mins after the procedure
Secondary	En bloc resection rate	En bloc resection rate according to the precutting methods.	Within 7 days after the procedure