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Gastritis, Atrophic clinical trials

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NCT ID: NCT03261934 Recruiting - Clinical trials for Risk Assessment of Chronic Atrophic Gastritis Malignant Transformation

Risk Assessment and Syndrome Evolution Models for Chronic Atrophic Gastritis Malignant Transformation

Start date: January 1, 2018
Phase:
Study type: Observational [Patient Registry]

Chronic atrophic gastritis (CAG) is acknowledged as the precancerous stage of gastric cancer (GC). The present study aims to developed risk assessment and syndrome evolution models of CAG malignant transformation events combining TCM indicators with modern medicine indicators. The proposed study is a registry study based participant survey conducted in 4 hospitals in Beijing, China. After obtaining informed consent, a total of 2000 study patients diagnosed with CAG will be recruited. 10-year follow-ups are carried out on-site in hospitals and off-site by telephone to track malignant transformation events.

NCT ID: NCT03250091 Recruiting - Gastric Cancer Clinical Trials

Surveillance of Patients With Precancerous Lesions of the Stomach

Start date: June 19, 2017
Phase:
Study type: Observational

The project will aim to identify and determine subgroups of patients with different risks of progression to gastric cancer and to assess appropriate follow-up intervals. Implementing risk stratification only high risk individuals will be offered and performed endoscopic surveillance.

NCT ID: NCT02833363 Recruiting - Gastric Cancer Clinical Trials

Difference of Gastric Microbiota in the Process of Correa's Model.

Start date: July 2016
Phase: Phase 4
Study type: Observational

Helicobater pylori plays an important role in the development of gastric cancer. Eradication therapy can reducing the morbidity of gastric cancer, but can't totally prevent it especially when atrophy and more serious precancerous lesions already happened. Prior studies found the gastric bacterial difference among gastritis, intestinal metaplasia and gastric cancer. However, they didn't reach an agreement. Correa's model is widely accepted in the development of gastric cancer. The pathological change makes a more suitable environment for bacteria to overgrowth. This study are designed to analyze the gastric microbial difference of non-atrophic gastritis, atrophic gastritis, intestinal metaplasia, intraepithelial neoplasia and gastric cancer.

NCT ID: NCT02725034 Recruiting - Clinical trials for Gastric Intestinal Metaplasia

Diagnosis of Gastric Intestinal Metaplasia With High Definition Endoscopy and Optic Enhancement

Start date: January 2016
Phase: N/A
Study type: Interventional

The purpose of this study is to assess whether high definition endoscopy with Optic Enhancement can reduce the biopsy number needed per patient for the detection of gastric intestinal metaplasia without the loss of corresponding diagnostic yield

NCT ID: NCT02595151 Recruiting - Flow Determination Clinical Trials

Real-time Observation of Microcirculatory Hemodynamics in Gastric Intestinal Metaplasia by Confocal Laser Endomicroscopy

Start date: March 2015
Phase: N/A
Study type: Observational

The morphologic change of microvessels has the clinical value to distinguish cancerous from non-cancerous mucosa. The aim of this study was to observe gastric mucosa microcirculatory hemodynamic changes real-time using pCLE, compare the differences between chronic nonatrophic gastritis and GIM; then evaluate the possible mechanisms associated with gastric mucosal blood flow in GIM.

NCT ID: NCT02534818 Recruiting - Clinical trials for Gastric Intestinal Metaplasia

Different Fluorescein Sodium Dosage for the Detection of Gastric Intestinal Metaplasia

Start date: June 2015
Phase: Phase 4
Study type: Interventional

The purpose of this study is to assess whether lower fluorescein sodium dosage can perceive the same detection rate per patient and per lesion for the detection of gastric intestinal metaplasia.

NCT ID: NCT02516735 Recruiting - Clinical trials for Gastric Intestinal Metaplasia

I-scan With Magnification for the Detection of Gastric Intestinal Metaplasia

Start date: May 2015
Phase: N/A
Study type: Interventional

The purpose of this study is to assess whether i-scan with magnification can reduce the biopsy number needed per patient for the detection of gastric intestinal metaplasia without the loss of corresponding diagnostic yield.

NCT ID: NCT02515721 Recruiting - Clinical trials for Diagnostic Yield of Gastric Neoplasia

PCLE for the Diagnosis of Gastric Intestinal Metaplasia, Intraepithelial Neoplasia, and Carcinoma

PCLE
Start date: July 2014
Phase: N/A
Study type: Interventional

Early detection of gastric intestinal metaplasia (GIM) intraepithelial neoplasia (IN), and gastric cancer are essential to improve patients' outcomes. This study aims to compare the diagnostic yield of GIM, IN and early gastric cancer (EGC) by iScan combined probe-based confocal laser endomicroscopy (pCLE) and iScan alone.

NCT ID: NCT02457624 Recruiting - Gastric Cancer Clinical Trials

Gastric Cancer Screening Quality Improvement System Establishment

Start date: March 2008
Phase: N/A
Study type: Observational [Patient Registry]

Experienced endoscopists will perform endoscopy during the study period and the detection rate of gastric premalignant lesion, correlation between endoscopic and serologic diagnosis of premalignant lesions and inter-observer agreement rate will be analyzed before and after the education.

NCT ID: NCT02428426 Recruiting - Clinical trials for Gastric Intestinal Metaplasia

Mucosal Microbiome in Human Gastric Intestinal Metaplasia and Duodenal Tissue.

Start date: September 2014
Phase: N/A
Study type: Observational

To investigate the mucosal microbiome in human gastric intestinal etaplasia and duodenal tissue.