Patients with first time dysphagia (grade 2-4) due to a benign anastomotic esophageal stricture MedDRA version: 9.1 Level: LLT Classification code 10015449 Term: Esophageal stricture MedDRA version: 9.1 Level: LLT Classification code 10030199 Term: Oesophageal stricture
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Anastomotic stricture after esophagectomy with gastroc tube and cervical anastomosis - Patients with dysphagia grade 2-4 (unable to swallow solid or semisolid food, or unable to swallow liquids or unable to swallow anything) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Previous dilatation - Dysphagia due to (suspicion of) malignant tumour recurrence - Patients unfit for upper endoscopy - Anastomotic leakage or infection - Recent vaccination with ‘alive’ vaccine - During the acute phase of viral, bacterial or fungal infections - Known gastric or duodenal ulcera - Previous allergic reaction to one of the substances of Kenacort - A known infection with tropical worms (such as Strongyloide) or parasites
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the effect of intralesional steroids on the median time to repeat dilation and the rate of patients dysphagia free after 6 months follow-up witin 3 or less dilation sessions;Secondary Objective: To evaluate safety, quality of life and patients' satisfaction after treatment with or without steroids ;Primary end point(s): - Time to repeat dilatation - Number of patients dilatation free after 3 dilatation sessions after 6 months follow-up (success rate) | — |
Countries
Netherlands