Anal Canal Functional Assessment Using EndoFLIP

NCT ID: NCT04741893

Last Updated: 2021-02-05

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

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-14

Study Completion Date

2019-03-27

Brief Summary

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Faecal incontinence (FI) is characterized by involuntary loss of rectal content through the anal canal. FI is psychologically and socially debilitating problem that can dramatically affect patient's quality of life, often in otherwise healthy individual. FI can occur as a result of obstetric sphincter injury, surgery, irradiation, anorectal malformations as well as neurological, connective tissue or endocrine disorders. Currently management options for these patients are limited, partly due to the fact that control of defaecation and continence is multifactorial but also due to the fact that FI is difficult to identify the exact cause of patients' incontinence.

Current assessment of patients with FI include endoscopic assessment to rule out intraluminal organic cause for patients' symptoms, endoanal ultrasound scan / MRI to assess their pelvic floor anatomy and anorectal manometry to assess anorectal function. Anorectal manometry is a simple test to perform but Anorectal manometry is susceptible to measurement artifacts, with a high inter-individual variation with significant overlap between healthy asymptomatic and symptomatic patients with FI. Harris et al in 1966 suggested that the anal sphincter's resistance to distension that may be of importance for sphincter competence, not how tight anal sphincter can squeeze.

Endoluminal Functional Lumen Imaging Probe (EndoFLIP©) is a novel technology used to measure the dimensions and function of a hollow organ. Limited publication so far has shown that EndoFLIP© provides a new way of assessing anal sphincter competence. The study is to assess the use of EndoFLIP© to assess anal sphincter function in Hong Kong population. Firstly to evaluate whether age has an effect on the distensibility of the anal sphincter and its function and secondly to compare between symptomatic patients with faecal incontinence and asymptomatic healthy subjects.

Detailed Description

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Conditions

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Faecal Incontinence Asymptomatic Condition

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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faecally incontinent patients

faecally incontinent patients are all assessed using EndoFLIP as well as anorectal manometry and endoanal ultrasound

Group Type EXPERIMENTAL

EndoFLIP

Intervention Type DEVICE

Use of Endoluminal Functional Lumen Imaging Probe to assess anal canal function

Asymptomatic individuals

asymptomatic individuals are all assessed using EndoFLIP as well as anorectal manometry and endoanal ultrasound

Group Type EXPERIMENTAL

EndoFLIP

Intervention Type DEVICE

Use of Endoluminal Functional Lumen Imaging Probe to assess anal canal function

Interventions

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EndoFLIP

Use of Endoluminal Functional Lumen Imaging Probe to assess anal canal function

Intervention Type DEVICE

Eligibility Criteria

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Exclusion Criteria

For Faecally Incontinent Group:
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Chinese University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Kaori Futaba

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kaori Futaba

Role: PRINCIPAL_INVESTIGATOR

Chinese University of Hong Kong

Locations

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Department of Surgery, Chinese University of Hong Kong

Shatin, New Territories, Hong Kong

Site Status

Countries

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Hong Kong

References

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Harris LD, Winans CS, Pope CE 2nd. Determination of yield pressures: a method for measuring anal sphincter competence. Gastroenterology. 1966 Jun;50(6):754-60.

Reference Type BACKGROUND
PMID: 5212375 (View on PubMed)

Sorensen G, Liao D, Lundby L, Fynne L, Buntzen S, Gregersen H, Laurberg S, Krogh K. Distensibility of the anal canal in patients with idiopathic fecal incontinence: a study with the Functional Lumen Imaging Probe. Neurogastroenterol Motil. 2014 Feb;26(2):255-63. doi: 10.1111/nmo.12258. Epub 2013 Nov 29.

Reference Type BACKGROUND
PMID: 24286561 (View on PubMed)

Gourcerol G, Granier S, Bridoux V, Menard JF, Ducrotte P, Leroi AM. Do endoflip assessments of anal sphincter distensibility provide more information on patients with fecal incontinence than high-resolution anal manometry? Neurogastroenterol Motil. 2016 Mar;28(3):399-409. doi: 10.1111/nmo.12740. Epub 2015 Dec 15.

Reference Type BACKGROUND
PMID: 26670599 (View on PubMed)

Other Identifiers

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CREC2017.125

Identifier Type: -

Identifier Source: org_study_id

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