Gastrointestinal Neoplasms Clinical Trial
Official title:
Palliative Endoscopic Treatment of Malignant GI-strictures With Self Expanding Metal Stents(SEMS)-a Prospective Multicenter Study
Obstruction of the digestive tract is a frequent cause of morbidity in patients with
gastrointestinal cancer.Palliative endoscopic treatment with self- expanding metal
stents(SEMS)is an alternative to palliative surgery and other palliative treatment
options.The method has expanded to include patients with malignancies in the
esophagus,gastroduodenal region, biliary tractus and colon. Numerous retrospective studies
have reported treatment with SEMS to be safe and effective. Prospective studies,and
especially studies regarding Quality of Life improvement are needed.
PURPOSE:
The purpose of this trial is to prospectively study the use and effect of selfexpanding
metal stents(SEMS)in a defined population i Norway, especially Quality of Life changes.
The study is divided into four projects:
1. Establish a central register over all patients with malignant GI-obstruction who are
treated with SEMS in the Eastern health region in Norway .Treatment incidence, methods
used, treatment effect,complications related to the procedure,Need for reinterventions,
hospitalisations and survival will be studied.
2. Quality of life(QoL) studies will be performed before and 14 days after treatment.The
EORTC QLQ C30 and EORTCs organospecific modules will be used.
3. Gastric emptying before/after stent will be studied.
4. Evaluate SEMS treatment of acute colon obstruction, as a permanent palliative treatment
or as a "bridge to surgery"
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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