| Unique ID issued by UMIN | UMIN000061924 |
|---|---|
| Receipt number | R000069512 |
| Scientific Title | Multicenter Observational Study Evaluating the Feasibility and Safety of Clinical Introduction of Endoscopic Hand Suturing Following Standardized Training |
| Date of disclosure of the study information | 2026/06/30 |
| Last modified on | 2026/06/16 05:43:25 |
Multicenter Observational Study Evaluating the Feasibility and Safety of Clinical Introduction of Endoscopic Hand Suturing Following Standardized Training
EHS-SuTURE Study
Multicenter Observational Study Evaluating the Feasibility and Safety of Clinical Introduction of Endoscopic Hand Suturing Following Standardized Training
EHS-SuTURE
| Japan |
Early Gastric Cancer
| Gastroenterology |
Malignancy
NO
The purpose of this study is to evaluate the clinical feasibility and safety of Endoscopic Hand Suturing (EHS) in clinical cases after the implementation of a standardized EHS training system. The primary endpoint is the completion rate of EHS. Secondary endpoints include suturing time, number of stitches, suturing time per stitch, sustained closure rate, post-procedural bleeding rate, complication rate, adverse event rate, and location-specific technical difficulty.
Safety
Exploratory
Explanatory
Not applicable
Completion rate of EHS .
Secondary endpoints are suturing time, number of stitches, suturing time per stitch, sustained closure rate, post-procedural bleeding rate, complication rate, adverse event rate, and location-specific technical difficulty.
Observational
| 20 | years-old | <= |
| Not applicable |
Male and Female
1.Gastric tumor <30 mm in size
2.Scheduled for ESD at the study institution
3.Age >=20 years
4.ECOG performance status 0-1
5.Written informed consent obtained from the patient
1.Early gastric cancer arising in the remnant stomach after gastrectomy (including remnant gastric cancer and gastric conduit cancer)
2.Tumors adjacent to the cardia or pylorus, or crossing the gastric angle
3.Bleeding tendency defined as platelet count <50000/mm3 or PT-INR >=2 (excluding patients receiving warfarin therapy)
4.Liver cirrhosis classified as Child-Pugh class B or C
5.Chronic renal failure requiring maintenance dialysis
6.Any cases deemed inappropriate for study participation by the investigators
60
| 1st name | Taku |
| Middle name | |
| Last name | Morita |
Omuta city hospital
Division of Gastroenterology
8368567
2-19-1 Takarazaka-machi, Omuta, Fukuoka 836-8567, Japan
+81-944-53-1061
morita_taku@kurume-u.ac.jp
| 1st name | Taku |
| Middle name | |
| Last name | Morita |
Omuta city hospital
Division of Gastroenterology
836-8567
2-19-1 Takarazaka-machi, Omuta, Fukuoka 836-8567, Japan
+81-944-53-1061
morita_taku@kurume-u.ac.jp
Omuta city hospital
Omuta city hospital
Self funding
NTT Medical Center Tokyo (Tokyo), Japanese Red Cross Omori Hospital (Tokyo), Itabashi Chuo Medical Center (Tokyo)
Omuta city hospital
2-19-1 Takarazaka-machi, Omuta, Fukuoka 836-8567, Japan
+81-944-53-1061
omuta_yuku@ghp.omuta.fukuoka.jp
NO
| 2026 | Year | 06 | Month | 30 | Day |
Unpublished
60
No longer recruiting
| 2024 | Year | 03 | Month | 01 | Day |
| 2024 | Year | 03 | Month | 01 | Day |
| 2024 | Year | 03 | Month | 01 | Day |
| 2026 | Year | 12 | Month | 31 | Day |
This is a multicenter observational study. Eligible patients are those who are scheduled to undergo ESD for gastric tumors at participating institutions between March 1, 2024 and December 31, 2025, meet the inclusion criteria, and provide written informed consent. Six physicians with fewer than five clinical EHS cases will undergo preclinical training using SuTURE mounted on the G-Master ESD training system. EHS will then be performed for post-ESD mucosal defects after ESD for gastric tumors smaller than 30 mm. The target sample size is 60 patients, with a target of 10 cases per physician.
The primary endpoints are the EHS completion rate and suturing time. Secondary endpoints include suture retention rate, postprocedural bleeding rate, minor postprocedural bleeding rate, number of stitches per ulcer floor area, complication rate, mean bite and pitch, and technical difficulty according to lesion location. Safety endpoints include the incidence, severity, outcome, and causal relationship of adverse events. The clinical information to be collected includes age, sex, height, body weight, medical history, past history, treatment history, laboratory data, endoscopic images, adverse events, EHS completion rate, and suturing time.
| 2026 | Year | 06 | Month | 16 | Day |
| 2026 | Year | 06 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069512