Esophageal Obstruction, Gastrointestinal Neoplasia, Gastroparesis, Hirschsprung's Disease, Spastic Esophageal Disorders, Zenker's Diverticulum
Conditions
Brief summary
To test the idea that submucosal endoscopy is effective and safe for endoscopic myotomy, endoscopic submucosal dissection, and access for tissue acquisition and resection. Submucosal endoscopy is a recent innovative addition to gastrointestinal endoscopy. This involves endoscopic maneuvers in the gut wall, by dissection of the submucosal layer of GI tract, thereby allowing endoscopic myotomy (incision of the muscle), endoscopic access for tissue acquisition and therapy, and resection of precancerous and cancerous gastrointestinal tissue. This approach has been a dramatic game-changer for minimally invasive management of various gastrointestinal conditions such as Zenker's diverticulum, Achalasia, Spastic Esophageal Disorders, Gastroparesis, esophageal obstruction, Hirschsprung's Disease, and Gastrointestinal neoplasia. The aim of the proposed study is to prospectively assess technical success, clinical success, and adverse events after submucosal endoscopy. Technical success will be defined as ability to successfully complete the submucosal endoscopic procedure. Clinical success will be defined as symptom relief and objective evaluation which will be assessed with radiologic imaging, repeat endoscopy, gastrointestinal motility studies, and pathology results routinely performed post-procedure for clinical care, as indicated. Adverse events will be recorded per published ASGE criteria. A database/ registry of patients undergoing submucosal endoscopic procedures will be created to demonstrate this.
Interventions
None listed
Sponsors
University of Colorado, Denver
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 89 Years
Inclusion criteria
1. Patients who will undergo submucosal endoscopy 2. Age \>18 years
Exclusion criteria
1. Age \<18 years 2. Pregnancy 3. Coagulopathy (platelets less than 50, INR more than 1.8)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Technical and clinical success in performing submucosal endoscopy | baseline to one year | Improvement in symptoms and objectively assessed by radiologic imaging, repeat endoscopy, gastrointestinal motility studies, and pathology. |
| Adverse Events | baseline to one year | as defined by published ASGE criteria |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Procedure time | During procedure | Procedure time |
| Submucosal endoscopy technique and device used | During procedure | Submucosal endoscopy technique and device used |
Countries
United States
Outcome results
None listed