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Trial Title: Efficacy and Safety of ESD for the Treatment of Superficial Gastric Neoplasms

NCT ID: NCT05930860

Condition: Gastric Cancer

Conditions: Official terms:
Neoplasms
Stomach Neoplasms

Conditions: Keywords:
Endoscopic Submucosal Dissection
Endoscopic Resection

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Procedure
Intervention name: Endoscopic Submucosal Dissection
Description: Endoscopic Submucosal Dissection

Summary: Endoscopic submucosal dissection (ESD) is the technique that has replaced surgery in the treatment of early neoplastic lesions of the stomach (LNPS). ESD of LNPS allows: a) less invasiveness compared to surgery; b) greater chances of "en bloc" resection and R0 resection compared to mucosectomy for lesions larger than 15 mm. Recent 2015 ESGE guidelines provide precise recommendations for the use of ESD in the treatment of LNPS, but Italy lacks prospective data on the efficacy and safety of ESD in a large sample of patients. A multicenter prospective observational study to create a database on the use of ESD in LNPS is essential to provide information regarding the efficacy and safety of ESD in Italy. This database would also provide information regarding the criteria applied in the use of ESD in the treatment of early gastric neoplasia

Criteria for eligibility:

Study pop:
All patients with gastric superficial neoplasms that can be treated by ESD according to ESGE guidelines or with gastric neoplasm outside of latest ESD guidelines criteria that are unfit for surgery.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Age > 18 years old - Endoscopic and histologic diagnosis of gastric superficial neoplasm that can be treated by ESD according to ESGE guidelines. - Gastric neoplasm outside of latest ESD guidelines criteria in patients unfit for surgery Exclusion Criteria: - Final diagnosis of non neoplastic lesion. - Gastric neoplasm outside of latest ESD guidelines criteria in patients fit for surgery - Evidence of muscolar layer invasion or limph nodes or other organs metastasis at EUS or TC when performed.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Locations:

Facility:
Name: Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Address:
City: Rome
Country: Italy

Status: Recruiting

Start date: December 12, 2021

Completion date: December 12, 2031

Lead sponsor:
Agency: Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Agency class: Other

Source: Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05930860

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