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Comparison of ESD outcome using different dose of PPI

Comparison of clinical outcomes after endoscopic submucosal dissection using high versus standard dose proton pump inhibitor : A prospective, randomized controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CRIS
Registry ID
KCT0004239
Enrollment
438
Registered
2019-08-26
Start date
2018-07-17
Completion date
Unknown
Last updated
2019-10-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Drug : This study was conducted to evaluate the optimal dose of PPI in terms of minimizing bleeding and pain after ESD. High dose PPI group received parenteral esomeprazole (Nexium
AstraZeneka Korea, Seoul, Korea) with an 80 mg loading dose over 5 min followed by intravenous infusion for 48 hours with 8mg/hour rate. On the other hand, standard dose PPI group received single dose

Sponsors

Kyung Hee University Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Over 19 years old patients who planned to undergo endoscopic submucosal dissection for gastric adenoma or early gastric caner. 2) Person who are agreed upon study enrollement.

Exclusion criteria

Exclusion criteria: 1) Coagulopathy defined by Prothrombine time > 1.5 INR, activated partial thromboplastin time > 1.5 times above reference value 2) Previous history of stomach surgery 3) Allergic to PPI (Hypersensitivity or history of hypersensitivity to PPI itself, constituent of PPI or Benzimidazole) 4) Pregnant or lactating woman 5) If it is impossible to assess one's pain 6) Patients using atazanavir or nelfinavir 7) Patients using Rilpivirine-containing medication

Design outcomes

Primary

MeasureTime frame
Delayed bleeding

Secondary

MeasureTime frame
Severity of post procedural pain

Countries

Korea, Republic of

Contacts

Public ContactYoo Min Park

Kyung Hee University Hospital

uminee@naver.com+82-2-958-8150

Outcome results

None listed

Source: CRIS (via WHO ICTRP) · Data processed: Feb 4, 2026