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Pyloric Endoscopic Myotomy as treatment for patients with symptom of gastric outlet obstruction after oesophagectomy with gastric conduit.

Recruiting
Conditions
Delayed gastric empyting after oesophagectomy with gastric tube reconstruction.
Registration Number
NL-OMON22297
Lead Sponsor
one.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
33
Inclusion Criteria

1. Previous oesophagectomy with gastric tube reconstruction (>3 months earlier)
2. Age between 18-90 years.
3. Presence of delayed gastric emptying based on symptoms and at least one of the fol-lowing objective parameters indicating delayed gastric emptying:
a.Delayed gastric emptying on nuclear scintigraphy,
b.Delayed gastric emptying on timed barium swallow,
c.Retention of solids in the gastric tube seen during gastroduodenoscopy, and/or
d.Good symptomatic response on botulinum toxin injection into the pylorus (re-sponse lasted at least 2 months).
4. Signed written informed consent.

Exclusion Criteria

1.Previous surgical drainage (pyloroplasty or pyloromyotomy).
2.Previous (attempt at) G-POEM.
3.Uncontrolled coagulopathy.
4.Prognosis qua ad vitam <2 years.

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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