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Peroral Endoscopic Myotomy (POEM) for the Treatment of Achalasia

Not Applicable
Completed
Conditions
Achalasia
Registration Number
NCT02073578
Lead Sponsor
Ohio State University
Brief Summary

This is a pilot study for a new endoscopic treatment of achalasia. Up to 25 patients will be recruited for this trial, with the intent to treat 20 patients.

Detailed Description

This is a pilot study for a new endoscopic treatment of achalasia. Up to 25 patients will be recruited for this trial, with the intent to treat or attempt to treat 20 patients. Patients for whom a POEM has been attempted but not completed (conversion to open or laparoscopic surgery, POEM surgery aborted and not re-attempted). Patients who proceed to study treatment will undergo ten years of follow-up as part of this study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Diagnosis of Achalasia
  • Age 16-80
  • ASA Class 1-3
Exclusion Criteria
  • Pregnancy
  • Any prior surgical or endoscopic treatment for achalasia -- first eight subjects.

After eight subjects have been treated as part of this study, this exclusion criteria no longer applies

  • Patients who are taking immunosuppressive medications or are immunocompromised
  • Patients on anticoagulant medications or abnormal coagulation tests
  • Patients with severe medical comorbidities, in the judgment of the treating surgeon

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Safety and Efficacy of POEM ProcedureIntraoperative to one year follow-up

To assess adverse events related to POEM

Long-term patient-reported quality of lifeBaseline to one year follow-up

To assess change in quality of life from baseline, based on validated quality of life measures, at baseline through 1 year follow-up.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

The Ohio State University Wexner Medical Center

πŸ‡ΊπŸ‡Έ

Columbus, Ohio, United States

The Ohio State University Wexner Medical Center
πŸ‡ΊπŸ‡ΈColumbus, Ohio, United States

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