Early cancer or precancer of the upper digestive tract requiring endoscopic submucosal dissection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Age =18 years old, gender is not limited; (2) Early cancers or precancerous lesions of the upper digestive tract requiring endoscopic submucosal dissection; (3) Patients who voluntarily accept and abide by this experimental protocol, receive review and follow-up on time, and sign informed consent.
Exclusion criteria
Exclusion criteria: (1) Pregnant women; (2) complicated with gastrointestinal varices or hemangioma; (3) severe anemia and coagulation disorders (Hb 2; PT (prothrombin time) was 10 seconds longer than the standard value; (4) patients with definite preoperative diagnosis of hypertension (systolic blood pressure >140mmHg or/and diastolic blood pressure >90mmHg); (5) participants enrolled in other clinical trials 3 months before surgery or during the trial; (6) Unable to tolerate endoscopic submucosal dissection due to poor cardiopulmonary function and other factors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemostatic related injuries to the muscularis propria during ESD;Hemostasis related perforation occurred during and after ESD;ESD intraoperative bleeding hemostatic time every time; | — |
Secondary
| Measure | Time frame |
|---|---|
| Clarity of bleeding points;Number of hemostasis exchange instruments (hemostatic forceps) per ESD procedure;Number of clips used for active bleeding per ESD procedure (excluding clips used to prevent bleeding and perforation);The number of electrocoagulation hemostasis in each ESD operation;The percentage of ESD hemostasis time in total operation time; | — |
Countries
China
Contacts
Second Affiliated Hospital of Army Medical University