to Explore the Influence of Longitudinal Muscle on the Prognosis of Achalasia Patients After Peroral Endoscopic Myotomy (POEM)
NCT ID: NCT03733756
Last Updated: 2018-11-14
Study Results
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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UNKNOWN
NA
308 participants
INTERVENTIONAL
2019-01-01
2020-08-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
TRIPLE
Study Groups
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POEM preserving longitudinal muscle
participants are operated POEM only involving circular muscle, leaving longitudinal muscle intact
POEM preserving longitudinal muscle
participants are operated POEM only involving circular muscle, leaving longitudinal muscle intact
POEM involving longitudinal muscle
participants are operated POEM involving the whole layer of muscle, both circular and longitudinal muscle
POEM involving longitudinal muscle
participants are operated POEM involving both circular and longitudinal muscle
Interventions
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POEM preserving longitudinal muscle
participants are operated POEM only involving circular muscle, leaving longitudinal muscle intact
POEM involving longitudinal muscle
participants are operated POEM involving both circular and longitudinal muscle
Eligibility Criteria
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Inclusion Criteria
* Patients or legal surrogates willing and competent to give informed consent
Exclusion Criteria
* post-pneumatic dilation or post-stenting
* fail to go through high frequency intraluminal ultrasound (HFIUS)
* Patients with American Society of Anesthesiologists (ASA) score ≥3
18 Years
60 Years
ALL
Yes
Sponsors
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Shanghai Zhongshan Hospital
OTHER
Responsible Party
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Principal Investigators
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Ping-Hong Zhou, MD,PhD
Role: STUDY_CHAIR
Zhongshan Hospital, Fudan University, Shanghai, China
Locations
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Zhongshan Hospital, Fudan University
Shanghai, Shanghai Municipality, China
Countries
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Central Contacts
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References
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Hong SJ, Bhargava V, Jiang Y, Denboer D, Mittal RK. A unique esophageal motor pattern that involves longitudinal muscles is responsible for emptying in achalasia esophagus. Gastroenterology. 2010 Jul;139(1):102-11. doi: 10.1053/j.gastro.2010.03.058. Epub 2010 Apr 8.
Schoeman MN, Holloway RH. Secondary oesophageal peristalsis in patients with non-obstructive dysphagia. Gut. 1994 Nov;35(11):1523-8. doi: 10.1136/gut.35.11.1523.
Liu ZQ, Li QL, Chen WF, Zhang XC, Wu QN, Cai MY, Qin WZ, Hu JW, Zhang YQ, Xu MD, Yao LQ, Zhou PH. The effect of prior treatment on clinical outcomes in patients with achalasia undergoing peroral endoscopic myotomy. Endoscopy. 2019 Apr;51(4):307-316. doi: 10.1055/a-0658-5783. Epub 2018 Sep 27.
Mittal RK, Liu J, Puckett JL, Bhalla V, Bhargava V, Tipnis N, Kassab G. Sensory and motor function of the esophagus: lessons from ultrasound imaging. Gastroenterology. 2005 Feb;128(2):487-97. doi: 10.1053/j.gastro.2004.08.004.
Other Identifiers
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LM for achalasia
Identifier Type: -
Identifier Source: org_study_id
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