Early gastric cancer
Conditions
Interventions
Sponsors
Sapporo Medical University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Scheduled to undergo ESD for early gastric cancer with a diameter of 3 cm or less 2. Age at enrollment is 20 years or older 3. Performance status is 0 to 1 according to ECOG criteria 4. Patients from whom we have not obtained written informed consent for participation in the study
Exclusion criteria
Exclusion criteria: 1) Patients with hemorrhagic diathesis if any of the following applies, Platelet count is less than 50,000/mm3 or PT-INR is 2 or higher with no anticoagulants Patients with liver cirrhosis fall under B-C in the Child-Pugh score. Patients with chronic renal failure on maintenance dialysis 2) Patients who can not be withdrawn from antithrombotic medications according to the JGES guidelines 3) Patients with lesions for which EHS is difficult due to site/technical difficulty 4) Patients with a history of surgical gastrectomy excluding partial resection 5) Patients who can not give consent for this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The rate of complications (delayed bleeding/ perforation) within 28 days in the group that started a solid diet early after ESD plus endoscopic hand-suturing. | — |
Secondary
| Measure | Time frame |
|---|---|
| The rate of successfulness of EHS procedures The rate of incidence of ESD-related symptoms (nausea, abdominal pain, etc.) The suture retention rate at 1 week/day after ESD Nutritional status at 1 week after ESD | — |
Countries
Japan
Contacts
Public ContactTsukasa Yamakawa
Sapporo Medical University Gastroenterology and Hepatology
Outcome results
None listed