Superficial esophageal neoplasms (either squamous cell carcinoma or basaloid carcinoma)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Superficial esophageal neoplasm (either squamous cell carcinoma or basaloid carcinoma) is pathologically diagnosed by endoscopic biopsy. 2) The neoplasm is located in the thoracic esophagus. 3) Lymph node metastasis is ruled out through CT examination. 4) The neoplasm meets either of the 2 following criteria: 1. a single neoplasm covering over half the circumference of the esophagus 2. multiple neoplasms that will require mucosal resection of over 3/4 the circumference of the esophagus 5) There will be only a single ESD defect. 6) The patient must be above 20 years of age. 7) The performance status of the patient must be 0-2. 8) The patient's dysphagia score must be 0. 9) Blood examination results must meet the following criteria: 1.Hb>=8.0g/dL 2.Plt>=100,000/mm3 3.AST,ALT<=150 4.Cre<=2.0mg/dL 10) Followup of the patient for 12 weeks after ESD must be possible. 11) Informed consent after sufficient explanation must be obtained.
Exclusion criteria
Exclusion criteria: 1) The patient has received endoscopic treatment of the upper GI tract within 30 days of entry. 2) The patient is to receive endoscopic treatment of either the stomach or duodenum in the same session. 3) The patient has plans of receiving endoscopic treatment of the upper GI tract within 12 weeks. 4) The patient has allergy to either Lugol staining, polyglycolic acid, steroids, PPIs. 5) Possibility of pregnancy 6) Neuropsychiatric symptoms which may impair comprehension of the study. 7) A history of either angina or cardiac infarction within 3 months 8) Uncontrolled hypertension 9) Others
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of endoscopic balloon dilation sessions required (within 12 weeks after ESD) | — |
Countries
Japan
Contacts
The University of Tokyo Hospital The Department of Gastroenterology