Unique ID issued by UMIN | UMIN000052773 |
---|---|
Receipt number | R000060218 |
Scientific Title | Hemostatic procedures in gastric endoscopic submucosal exfoliation (ESD) |
Date of disclosure of the study information | 2023/11/13 |
Last modified on | 2023/11/12 13:47:13 |
Hemostatic procedures in gastric endoscopic submucosal exfoliation (ESD)
Hemostatic procedures in gastric endoscopic submucosal exfoliation (ESD)
Hemostatic procedures in gastric endoscopic submucosal exfoliation (ESD)
Hemostatic procedures in gastric endoscopic submucosal exfoliation (ESD)
Japan |
All patients who underwent gastric ESD at our department during the eligible period
Gastroenterology | Adult |
Malignancy
NO
Postprocedure bleeding requires emergency endoscopic treatment and sometimes surgery. The synthetic self-assembling peptide (PureStat) is an absorbent hemostatic agent used to reduce the number of cauterizations with hemostatic forceps. It is thought to be effective in preventing posterior hemorrhage and promoting wound healing, but there have been few reports to date. In this study, we will examine the effects of hemostatic procedures using coagulation hemostats and the effects of adding PureStat to prevent posterior hemorrhage and promote wound healing after ESD.
Efficacy
The primary endpoint is the frequency of posterior hemorrhage.
Secondary endpoints are the number of coagulation hemostasis at second-look endoscopy and the size of the ulcer base of the posttreatment ulcer at 1 and 2 months after ESD.
Interventional
Factorial
Non-randomized
Open -no one is blinded
Active
2
Treatment
Device,equipment | Maneuver |
In the first half of the period, the effectiveness of the conventional hemostatic method using hemostatic forceps (number of coagulation hemostasis and size of ulcer base of post-treatment ulcer 1 and 2 months after ESD) will be examined, and in the second half of the period, the conventional hemostatic method will be combined with Purestat to compare its effectiveness with that of the conventional hemostatic method.
In the first half of the period, the effectiveness of the conventional hemostatic method using hemostatic forceps (number of coagulation hemostasis and size of ulcer base of post-treatment ulcer 1 and 2 months after ESD) will be examined, and in the second half of the period, the conventional hemostatic method will be combined with Purestat to compare its effectiveness with that of the conventional hemostatic method.
Not applicable |
Not applicable |
Male and Female
All patients who underwent gastric ESD in our department from September 2023 (after Ethics Committee approval) to April 2024 will be included.
Patients who did not give consent for clinical research.
80
1st name | Shinji |
Middle name | |
Last name | Nagata |
Department of Gastroenterology, Hiroshima City North Medical Center Asa Citizens Hospital, Hiroshima, Japan
Department of Gastroenterology
731-0293
1-2-1 Kameyamaminami Asakita-ku, Hiroshima-shi
082-815-5211
s-nagata@asa-hosp.city.hiroshima.jp
1st name | Naoki |
Middle name | |
Last name | Aaayama |
Department of Gastroenterology, Hiroshima City North Medical Center Asa Citizens Hospital, Hiroshima
Department of Gastroenterology
731-0293
1-2-1 Kameyamaminami Asakita-ku, Hiroshima-shi
082-815-5211
asayama0502@hiroshima-u.ac.jp
Hiroshima City North Medical Center Asa Citizens Hospital
Hiroshima City North Medical Center Asa Citizens Hospital
Other
Hiroshima City North Medical Center Asa Citizens Hospital
1-2-1 Kameyamaminami Asakita-ku, Hiroshima-shi
082-815-5211
asayama0502@hiroshima-u.ac.jp
NO
2023 | Year | 11 | Month | 13 | Day |
Unpublished
Open public recruiting
2023 | Year | 08 | Month | 09 | Day |
2023 | Year | 08 | Month | 09 | Day |
2023 | Year | 09 | Month | 01 | Day |
2024 | Year | 12 | Month | 31 | Day |
2023 | Year | 11 | Month | 12 | Day |
2023 | Year | 11 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060218