Unique ID issued by UMIN | UMIN000027448 |
---|---|
Receipt number | R000028169 |
Scientific Title | Functional endoscopy for hiatal hernia |
Date of disclosure of the study information | 2017/05/23 |
Last modified on | 2023/11/09 09:16:28 |
Functional endoscopy for hiatal hernia
Functional endoscopy for hiatal hernia
Functional endoscopy for hiatal hernia
Functional endoscopy for hiatal hernia
Japan |
Esophagus achalasia
Gastroenterology |
Others
NO
Currently, in patients with GERD symptoms, the degree of reflux and nature are evaluated using a 24-hour pH impedance test (insurance medical examination). This is currently the most useful and objective indicator. However, restraint for 24 hours (hospitalization for one night) is essential, and from the viewpoint of medical economics, if it is possible to conduct alternative tests in a simple manner, it is highly practical. In this research, we aim to contribute greatly to the diagnosis of reflux esophagitis by devising endoscopic examination (addition of SHS examination: see below).
We have reached the following hypothesis from the observation of numerous refractory GERD cases undergoing endoscopic cardia resection (ARMS) (approved by our ethics committee). Among esophageal hiatal hernias, the case where the contractile ability of the LES (lower esophageal sphincter) located at the lower end of the esophagus remains is a finding that the mucous membrane is wrapped around the scope due to contraction of the LES at the time of reversal observation of the endoscope ( Scoped holding sign (SHS)) is often observed. On the other hand, in GERD cases (including NERD cases), the contraction of LES is insufficient (or short time). Focus on this point and evaluate.
Safety,Efficacy
Relationship between the presence of SHS and GERD symptoms
Scope holding position (position where the mucosa winds around the scope), presence or absence of peristaltic wave, duration of the gap
Observational
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1) Showa University Patient undergoing upper gastrointestinal endoscopy in a patient who is visiting Godo Toyosu Hospital digestive organ center.
2) Patients who aged 20 to over 80 years of age at the time of acquisition.
3) Patients who consented to their participation in this study by written consent.
1) Patients aged 20 years or older, patients aged 80 years or older at the time of acquisition.
2) Patients who take 3 or more doses of anticoagulants / antiplatelets.
3) Patients complaining of active ulcer.
4) Patients who have malignant gastrointestinal disease.
5) Patient judged inappropriate at the discretion of the research doctor.
100
1st name | Haruhiro |
Middle name | |
Last name | Inoue |
Showa University Koto-Toyosu Hospital
Digestive Disease Center
1358577
Toyosu 5-1-38, Koto-ku, Tokyo-to
03-6204-6000
picatyu2@yahoo.co.jp
1st name | Kazuya |
Middle name | |
Last name | Sumi |
Showa University Koto-Toyosu Hospital
Digestive Disease Center
1358577
Toyosu 5-1-38, Koto-ku, Tokyo-to
03-6204-6000
picatyu2@yahoo.co.jp
Showa University Koto-Toyosu Hospital
Showa University Koto-Toyosu Hospital
Self funding
Showa University Koto-Toyosu Hospital IRB
Toyosu 5-1-38, Koto-ku, Tokyo-to
0362046000
th_irb@ofc.showa-u.ac.jp
NO
2017 | Year | 05 | Month | 23 | Day |
Unpublished
Completed
2017 | Year | 12 | Month | 01 | Day |
2017 | Year | 12 | Month | 01 | Day |
2017 | Year | 12 | Month | 01 | Day |
2022 | Year | 04 | Month | 01 | Day |
none
2017 | Year | 05 | Month | 22 | Day |
2023 | Year | 11 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028169