CTRI/2020/01/022933尚未招募未知
Short Segment Versus Long Segment Myotomy during Per Oral Endoscopic Myotomy for Achalasia Cardia: A Randomized Controlled Trial
AIIMS New Delhi0 个研究点目标入组 0 人开始时间: 待定最近更新:
试验速览
- 阶段
- 未知
- 状态
- 尚未招募
- 发起方
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
入选标准
- •1. Achalasia cardia (type I and II)
- •2. Eckardt score >3
- •3. Patient willing to undergo scheduled follow-up after POEM.
- •4. ASA class I or II
排除标准
- •1. Prior surgical treatment of achalasia (previous endoscopic balloon dilation or botox injection will not be taken as exclusion criteria)
- •2. Pregnancy or nursing mothers
- •3. Severe co-morbid condition such as congestive heart failure, renal failure, or respiratory failure
- •4. Coagulopathy with INR >1.6 or platelet count <50000/cmm
- •5. Cirrhosis with or without portal hypertension with or without esophageal varices
- •6. Secondary achalasia
- •7. Sigmoid esophagus: A sigmoid esophagus is tortuous (diameter > 6 cm) with axis deviation. Sigmoid achalasia is further classified into two types on the basis of computed tomography (CT)â??(i) Sigmoid type 1 (S1): the esophagus is significantly dilated and tortuous with single lumen only, (ii) Sigmoid type 2 (S2): the esophagus is very dilated and tortuous with double lumen on single CT slice
- •8. Epiphrenic esophageal diverticulum: Epiphrenic diverticulum are pulsion type diverticulum located in the distal esophagus. They are pseudodiverticulum and lack muscle layer. They are commonly associated with motility disorders, including achalasia cardia. Any epiphrenic diverticulum, which is large enough, and likely to require modification in the posterior myotomy, will be excluded from the study.
- •9. Any contra-indications for endoscopy
研究者
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