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Sentinel node Navigation surgery in early esophageal Adenocarcinoma Patients with lymph node involvement: SNAP-IV study

Completed
Conditions
<p>Early esophageal adenocarcinoma with lymph node metastases (T1N1)</p>
Registration Number
NL-OMON29572
Lead Sponsor
niversity Medical Center Utrecht
Brief Summary

Stopped prematurely without inclusion of participants.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
5
Inclusion Criteria

1) EAC clinically staged as T1N1M0 with an indication for esophagectomy, defined as:
a) EAC confined to the mucosa or submucosa on histology (diagnosed in ER specimen), and
b) Suspicion of 1-2 LN metastasis on endoscopic ultrasound, ultrasound of the neck, CT thorax/abdomen and/or PET/CT, and
c) No suspicion of distant metastasis on CT thorax/abdomen and/or PET/CT
2) Fit for endoscopy and surgery per institution’s standards
3) Older than 18 years of age at time of informed consent
4) Willing and able to comply with follow-up requirements
5) Written informed consent

Exclusion Criteria

1) History of esophageal squamous cell carcinoma
2) Clinically staged as T>1, N>1 and/or M1
3) Prior neoadjuvant (chemo)radiation therapy
4) Prior esophageal surgery interfering with the procedure
5) Known allergy for the radioactive tracer (technetium) or dye (indocyanine green)
6) Severe medical comorbidities precluding endoscopy and/or surgery
7) Pregnant or planning to become pregnant during period of study
8) Refusing or unable to provide written informed consent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Percentage of patients in whom tumor-positive lymph nodes are detected as sentinel nodes.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>- Percentage of patients with a detectable sentinel node. - Number of (tumor-positive) resected sentinel nodes. - Adverse events.</p><br>
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