Health Condition 1: K319- Disease of stomach and duodenum, unspecified
Conditions
Interventions
Intervention1: Endoscopic sub mucosal dissection: ESD will be performed using the standard technique under general anaesthesia. The steps of the procedure are as follows: a) marking of the lesion usin
Ovesco Endoscopy, Tu¨bingen, Germany) . Gastroduodenal full thickness resection device (FTRD) consists of an application cap with outer diameter 19.5 mm and depth 23 mm, ready to use mounted FTRD clip
Sponsors
Asian institute of Gastroenterology
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients (=18 years) with biopsy proven duodenal neuroendocrine tumors (DNETs) 2) Size of the lesion 3) Absence of local and distant metastases (EUS and DOTANOC scan) 4) Willing to provide informed consent
Exclusion criteria
Exclusion criteria: 1) Large lesions >15 mm 2) Invasion of muscularis layer and beyond on imaging (EUS) 3) Scarring or deformity in duodenum 4) Active duodenal ulcer 5) History of prior resection 6) Coagulopathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of histologically complete resection in both the armsTimepoint: 7 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse EventsTimepoint: 7 Days;Procedure DurationTimepoint: 7 Days;Technical success: defined as en-bloc resection of the lesion without any residual lesion endoscopicallyTimepoint: 7 Days | — |
Countries
India
Contacts
Public ContactDr Ayush Singh
Asian institute of Gastroenterology/AIGH
Outcome results
None listed