Comparison Study of Conventional POEM and Hybrid POEM for Esophageal Achalasia

NCT ID: NCT01742494

Last Updated: 2012-12-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2012-12-31

Brief Summary

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Peroral endoscopic myotomy (POEM) has recently been introduced as promising alternative to laparoscopic Heller myotomy for patients with idiopathic achalasia. Several technical modifications have been proposed but have not yet been tested in randomized trials.

Detailed Description

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Objective: To evaluate efficacy and safety of water-jet assisted POEM (WJ) versus the conventional technique (C).

Interventions: Patients with achalasia diagnosed by symptoms, endoscopy and barium swallow eligible for POEM were randomized to either the use of Erbe Hybrid knife (WJ group) or the conventional technique using injection and triangle tip knife interchangeably (C group).

Main outcome measurements: Procedure time in both groups; secondary outcomes were clinical efficacy and safety (bleeding complications, pneumothorax or pleural effusion requiring intervention)

Conditions

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Esophageal Achalasia

Keywords

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Esophageal Achalasia, Peroral endoscopic myotomy, Water-jet assisted

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Water-jet POEM

POEM were performed by the use of Erbe Hybrid knife (WJ group)

Group Type ACTIVE_COMPARATOR

Water-jet POEM

Intervention Type PROCEDURE

Water-jet assisted POEM procedure was performed

Conventional POEM

POEM were performed by the conventional technique using injection and triangle tip knife (C group).

Group Type ACTIVE_COMPARATOR

Conventional POEM

Intervention Type PROCEDURE

POEM were performed by the use of conventional technique using injection and triangle tip knife.

Interventions

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Water-jet POEM

Water-jet assisted POEM procedure was performed

Intervention Type PROCEDURE

Conventional POEM

POEM were performed by the use of conventional technique using injection and triangle tip knife.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* With an Eckardt symptom score ≥ 4
* The diagnosis of achalasia was made on the basis of the absence of peristalsis and on impaired relaxation of the LES on established methods (barium swallow, manometry, esophagogastroduodenoscopy)
* Informed patient consent was obtained

Exclusion Criteria

* Severe cardiopulmonary disease or other serious disease leading to unacceptable surgical risk
* Pseudoachalasia
* Megaesophagus (diameter of \> 7 cm)
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Zhongshan Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ping-Hong Zhou, M.D., PhD

Role: STUDY_DIRECTOR

Fudan University

Locations

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Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ping-Hong Zhou, M.D, PhD

Role: CONTACT

Phone: 86-13681971063

Email: [email protected]

References

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Cai MY, Zhou PH, Yao LQ, Xu MD, Zhong YS, Li QL, Chen WF, Hu JW, Cui Z, Zhu BQ. Peroral endoscopic myotomy for idiopathic achalasia: randomized comparison of water-jet assisted versus conventional dissection technique. Surg Endosc. 2014 Apr;28(4):1158-65. doi: 10.1007/s00464-013-3300-1.

Reference Type DERIVED
PMID: 24232052 (View on PubMed)

Other Identifiers

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Hybrid POEM

Identifier Type: -

Identifier Source: org_study_id