Early gastric cancer and gastric adenoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient who will be performed ESD for gastric cancer or gastric adenoma. 2. Gastric neoplasms with indication of ESD. 3. Patient has no history of allergy to SCMC or HA. 4. ECOG performance status is 0 or 1 or 2. 5. Patient must sign an informed consent.
Exclusion criteria
Exclusion criteria: 1.Psychosis 2.Patient who have synchronous lesion 3. Patients who cannot consent to use SCMC. 4. Patient with AP, Respiratory failure, Chronic hepatitis, Renal failure requiring dialysis, simultaneous cancer, continuous systemic steroid medication. 5. Patients with allergy to SCMC and HA. 6.Patients temporary interruption of antiplatlet agents and anticoagulants is not possible. 7.Patient under heparin replacement. 8.Patient who have been judged as psychotic manifestation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| procedural time | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.The amount of local injection solution of HA or SCMC 2.Number of times of use of hemostatic forceps for stop bleeding 3.Status of ulcer healing 4.Bleeding rate 5.Incidence rate of adverse events related to ESD 6.En block resection rate 7.R0 resection rate 8.Blood test: WBC,CRP (next day) 9.Changes in body temperature 10.Evaluate of technically difficult (evaluated at 10 levels with a VAS score) (10point: very easy, 1point: very difficult) 11.Change of local injection solution 12.Change of the operator | — |
Countries
Japan
Contacts
Fukushima medical university Endoscopy division