MedPath

Cyrotherapy vs. APC in GAVE

Phase 2
Completed
Conditions
Watermelon Stomach
Interventions
Procedure: cryotherapy
Procedure: Argon Plasma Coagulation
Registration Number
NCT00587405
Lead Sponsor
Mayo Clinic
Brief Summary

To see if either method of treatment for Watermelon Stomach shows better results

Detailed Description

Watermelon stomach (WS) is endoscopically recognized by characteristic stripes of angioectasias involving primarily the antrum, and causes transfusion-dependent anemia in the majority of patients. Current endoscopic treatment options, including argon plasma coagulation (APC) Endoscopic cryotherapy is a novel technique that has the potential to safely and more effectively treat WS by virtue of its mechanism of injury and mode of application.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  1. Confirmed WS at endoscopy that is associated with significant anemia (Hb < 10 g/dl) and/or overt bleeding (melena, hematochezia or hematemesis) and/or blood transfusions within the past 6 months
  2. Able to give informed consent
  3. Age > 18 years
Exclusion Criteria
  1. Endoscopic or histological findings inconsistent with WS
  2. Known coagulopathy (INR > 2), severe thrombocytopenia (platelet count < 50,000), or bleeding diathesis
  3. Endoscopic treatment of WS within the past month
  4. Unable or unwilling to give informed consent.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1cryotherapyCryotherapy
2Argon Plasma CoagulationArgon Plasma Coagulation
Primary Outcome Measures
NameTimeMethod
the proportion of clinical responders (no overt and hematological evidence of ongoing bleeding) and non-responders6 months
Secondary Outcome Measures
NameTimeMethod
Endoscopic response will constitute the secondary outcome6 months

Trial Locations

Locations (1)

Mayo CLinic

🇺🇸

Rochester, Minnesota, United States

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