Unique ID issued by UMIN | UMIN000035344 |
---|---|
Receipt number | R000040268 |
Scientific Title | Establishment of Endoscopic Duodenal Observational Protocol on Duodenal Lesion Detection During Screening Esophagogastroduodenoscopy |
Date of disclosure of the study information | 2019/01/04 |
Last modified on | 2022/12/26 15:57:00 |
Establishment of Endoscopic Duodenal Observational Protocol on Duodenal Lesion Detection During Screening Esophagogastroduodenoscopy
Endoscopic Duodenal Observational Protocol
Establishment of Endoscopic Duodenal Observational Protocol on Duodenal Lesion Detection During Screening Esophagogastroduodenoscopy
Endoscopic Duodenal Observational Protocol
Japan |
Duodenal Lesion
Gastroenterology |
Malignancy
NO
To propose endoscopic duodenal observational protocol on duodenal lesion detection
Others
To investigate the incidental rate of duodenal lesion by the observational protocol
Exploratory
Others
Phase I
The completion rate of established observational protocol
1.The incidental rate of duodenal lesion
2.The incidental rate of duodenal meoplasms which need treatment
3.The examination time of duodenum
4.Total examination time
Observational
20 | years-old | <= |
Not applicable |
Male and Female
Patients who undergo screening esophagogastroduodenoscopy
1)without informed consent
2)already detected duodenal neoplasm
3)past history of upper GI surgery
4)severe mental status
5)inproper indication judged by doctor
4000
1st name | Hideki |
Middle name | |
Last name | Kobara |
Faculty of Medicine, Kagawa University
Gastroenterology and Neurology
761-0793
1750-1 Ikenobe, Miki, Kita, Kagawa 761-0793, Japan
0878985111
kobara@med.kagawa-u.ac.jp
1st name | Masae |
Middle name | |
Last name | Miyoshi |
Faculty of Medicine, Kagawa University
Investigator
761-0793
1750-1 Ikenobe, Miki, Kita, Kagawa 761-0793, Japan
0878985111
chosa@med.kagawa-u.ac.jp
Kagawa University
Gastroenterology and Neurology, Faculty of Medicine, Kagawa University
Other
Japan
KKR hospital Mitsugu Yasuda
Kagawa University
1750-1 Ikenobe, Miki, Kita
0878912156
kobara@med.kagawa-u.ac.jp
NO
2019 | Year | 01 | Month | 04 | Day |
Unpublished
1549
There were 1549 participants. The 7PR completion rate was 81.1% and the detection rate of overall neoplasms, adenomas, and carcinomas were 0.84, 0.71, and 0.06%, respectively. The area in which most neoplasms was detected was contralateral to the ampulla (69.2%), and the fewest the transverse duodenum (0%). 7PR is acceptable for duodenal examination and a potential quality indicator.
2022 | Year | 12 | Month | 26 | Day |
This prospective observational study was conducted at two facilities and enrolled consecutive participants who had undergone screening EGD between April 2019 and August 2021. The inclusion criteria were age >20 years and screening EGD examination. The exclusion criteria were duplicated participants, previous diagnosis of UGI malignant neoplasms and duodenal tumors, history of resection of part of the UGI tract, and presence of psychosis or psychiatric symptoms.
Enrolled patients underwent our developed-comprehensive duodenal examination protocol, called the Seven Pictures Rule (7PR)
7PR procedure-associated complications
The primary outcome was the 7PR completion rate. Completion of 7PR was defined as capture of the required seven photos in any sequence. Secondary outcomes were total rates of detection of lesions or neoplasms (adenomas, carcinomas, and others) requiring treatment overall and for each location, duodenal and total examination time, rates of completion of 7PR for S and U scopes, and 7PR procedure-associated complications. The total examination time was the duration between insertion of the scope into the mouth and its retrieval. Duodenal examination time was the duration between the first and seventh photo-documentation.
Completed
2018 | Year | 12 | Month | 10 | Day |
2019 | Year | 04 | Month | 18 | Day |
2019 | Year | 04 | Month | 18 | Day |
2022 | Year | 09 | Month | 30 | Day |
none
2018 | Year | 12 | Month | 22 | Day |
2022 | Year | 12 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040268