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Endoscopic Resection of Early Esophageal Tumors in the Context of Cirrhosis or Portal Hypertension

Completed
Conditions
Portal Hypertension
Cirrhosis
Esophageal Neoplasms
Interventions
Procedure: Endosocpic resection of early esophageal tumor
Registration Number
NCT04994548
Lead Sponsor
Central Hospital, Nancy, France
Brief Summary

Cirrhotic patients may be at high risk for esophageal cancer. Endoscopic resection is the standard treatment for superficial tumors. However, cirrhosis might be associated with upper gastrointestinal bleeding, particularly in case of portal hypertension or coagulopathy. This study aims to assess safety, efficacy and methods to prevent potential complications in cirrhosis or portal hypertension context for esophageal endoscopic resection.

This retrospective multicentric French-Belgian study includes all consecutive patients with cirrhosis or portal hypertension who underwent esophageal endoscopic resection from January 2005 to 2021.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
112
Inclusion Criteria
  • older than 18 years with cirrhosis or portal hypertension who underwent endoscopic resection of an early esophageal tumor
Exclusion Criteria
  • younger than 18

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Cirrhotic patients or with portal hypertensionEndosocpic resection of early esophageal tumorPatients with early esophageal cancer
Primary Outcome Measures
NameTimeMethod
technical success of early esophageal cancer resectionbaseline

defined by a complete macroscopic resection

Secondary Outcome Measures
NameTimeMethod
preemptive methods to the risk of bleedingbaseline
morbidity post procedure (delayed bleeding, infection, esophageal stenosis, 30-days related liver decompensation, 30-days related mortality)up to 4 weeks
adverse events per procedure (immediate bleeding, perforation)baseline
Potential risk factors for adverse eventsbaseline
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