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Gastric Dysplasia clinical trials

View clinical trials related to Gastric Dysplasia.

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NCT ID: NCT01753544 Completed - Gastric Dysplasia Clinical Trials

Endoscopic Submucosal Dissection Using a Thulium Laser

Start date: October 2012
Phase: N/A
Study type: Observational

We aim to evaluate safety and feasibility of a thulium laser system in performing endoscopic submucosal dissection of gastric neoplasia.

NCT ID: NCT01688687 Completed - Clinical trials for Early Gastric Cancer

Conventional Biopsies vs pCLE for Diagnosis of Superficial Gastric Neoplasia

pCLE
Start date: February 2012
Phase: N/A
Study type: Observational

Confocal endomicroscopy (CLE) allows real-time in-vivo high-resolution and high-magnification imaging of the gastrointestinal epithelium, which is comparable to histopathology. Previous studies have investigated the accuracy of pCLE for diagnosis and differentiated of colorectal polyps, Barrett's esophagus and pancreaticobiliary strictures. However, to date there are limited data exploring the application of pCLE to gastric lesions, and this is the first study comparing the diagnosis of conventional forceps biopsy with that of pCLE using the final specimens obtained from endoscopic resection as a reference standard. The aims of this study were (1) the accuracy of pCLE compared to conventional forceps biopsy using histopathology results following endoscopic resection as a reference, and (2) comparison of "real time" in-vivo pCLE diagnosis with that of blinded "off-line" pCLE diagnosis, and off-line interobserver agreement.

NCT ID: NCT01614418 Completed - Clinical trials for Intestinal Metaplasia

Radiofrequency Ablation for Gastric Metaplasia and Dysplasia

Start date: September 2011
Phase: Phase 1/Phase 2
Study type: Interventional

Gastric intestinal metaplasia (IM) and dysplasia, also referred to as intra-epithelial neoplasia, are well recognized precursors of gastric cancer. Apart from endoscopic surveillance, there is no other intervention which predictably eradicates pre-cancerous gastric lesions. Endoscopic radiofrequency ablative (RFA) therapy has been recently shown to be highly effective in eradicating both IM and dysplasia in patients with Barrett's esophagus. However, the potential role of RFA to remove gastric IM and dysplasia remains unknown. In this study, we determine the feasibility of using endoscopic RFA in treating early gastric neoplasia (metaplasia and dysplasia). Patients with gastric metaplasia and/or dysplasia will be treated with endoscopic RFA. The safety and effects of RFA will be determined.

NCT ID: NCT01523912 Completed - Neoplasia Clinical Trials

Radiofrequency Ablation for the Treatment of Gastric Dysplasia

Start date: January 2011
Phase: Phase 4
Study type: Interventional

The finding of gastric dysplasia not associated with macroscopic lesions (DNAML) or the follow-up of dysplasia after endoscopic resection (DAER) is a challenging dilemma. In the last few years, radiofrequency ablation (RFA) has become a recognized tool in the treatment of dysplastic Barrett's esophagus, but its use in gastric dysplasia has not yet been studied. The investigators aim to study the efficacy, safety and tolerability of RFA in the treatment of dysplastic gastric mucosa.