Adenoma of the Accessory Papilla, Ampulloma of the Accessory Papilla
Conditions
Brief summary
The monitoring and prognosis of patients with familial polyposis adenomatous rests on analysis of the transitional mucosa at the anal margin and especially on the tracking, characterization and resection of lesions of dysplasia type of high grade at the duodenal level, after total proctocolectomy. Currently, endoscopes with axial or lateral vision are used. The FUSE technology allows the simplification or even the improvement of patient surveillance with a 245° vision (versus150° in case of classical gastroscope). The use of a second screen to enlarge the field of view may allow both analysis of duodenum and the main and accessory papilla with one single endoscope and to decrease the number of omitted lesions .
Interventions
DEVICEgastroscope FUSE™
All patients undergoing a diagnostic gastroscopy are eligible. Using the FUSE endoscope with side screen, the duodenal and accessory papilla are monitored. Data are collected by each operator. Clinical examination of patients is performed before they leave the centre.
Sponsors
Institut Paoli-Calmettes
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient eligible to any upper gastrointestinal endoscopy diagnostic
Exclusion criteria
* History of duodenal or gastric surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy | 1 day | Visualization of minor and major papilla Absence of necessity to change endoscope for viewing and / or for biopsies |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patient with treatment-related serious adverse events | 5 day | Evaluated serious advers events are mainly perforation, severe bleeding, acute pancreatitis |
Countries
France
Outcome results
None listed