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Acetic acid chromoendoscopy for detection of neoplastic Barrett's esophagus

Conditions
Barrett's esophagus
Registration Number
NL-OMON25059
Lead Sponsor
St. Antonius Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
3268
Inclusion Criteria

18 years of age or older
-Diagnosis of Barrett’s esophagus undergoing surveillance gastroscopy
-Signed consent for the use of patient data

Exclusion Criteria

-Previous treatment for esophageal neoplasia (endoscopic resection, photodynamic therapy, argon plasma coagulation, radiofrequency ablation)
-Referral from other centers with suspected or known dysplasia for assessment and endoscopic intervention
-Obvious visible cancers at gastroscopy other than esophageal adenocarcinoma (i.e. gastric cancer, or esophageal squamous cell carcinoma)
-Known dysplasia or intensified endoscopic surveillance because of previously diagnosed dysplasia
-Prior esophagectomy
-Active esophagitis LA grade C or higher, precluding endoscopic biopsies (patients can be included after adequate treatment)
-Esophageal varices precluding endoscopic biopsies
-Coagulation disorders precluding endoscopic biopsies
-Allergy to acetic acid

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Overall neoplasia detection rate (defined as the percentage of patients with either targeted or standardized random biopsies containing LGD, HGD or EAC).
Secondary Outcome Measures
NameTimeMethod
1.Neoplasia detection rate stratified by degree of neoplasia in biopsies (LGD, HGD, EAC).<br>2.Neoplasia detection rate in of targeted biopsies only (defined as the percentage of patients with targeted biopsies containing LGD, HGD and EAC). <br>3.Duration of endoscopy.
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