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Observational study;Confocal endomicroscopy in the diagnosis of colorectal neoplasia.

Recruiting
Conditions
1. Colorectal cancer (coloncarcinoom)
<br />2. adenomatous polyps (adenomateuze poliepen)
<br />3. chromoendoscopy (chromoendoscopie)
<br />4. confocal endomicroscopy (confocale endomicroscopie).<br />
Registration Number
NL-OMON29543
Lead Sponsor
Dr. S. Sanduleanu, gastroenterologistUniversity Hospital MaastrichtDepartment of Gastroenterology and HepatologyPO BOX 5800, 6202 AZMaastrichte-mail: sda@sint.azm.nltel: 0031-43-3875021
Brief Summary

1. Confocal laser endomicroscopy: technical status and current indications. Endoscopy 2006;38(12):1275-83. Hoffman, A., Goetz, M., Vieth, M., Galle, P.R., Neurath, M.F., Kiesslich, R;<br> 2. Confocal laser endoscopy for diagnosing intraepithelial neoplasias and colorectal cancer in vivo. Gastroenterology 2004;127(3):706-13. Kiesslich, R., Burg, J., Vieth, M., Gnaendiger, J., Enders, M., Delaney, P., Polglase, A., McLaren, W., Janell, D., Thomas, S., Nafe, B., Galle, P.R., Neurath, M.F;<br> 3. The role of high-magnification-chromoscopic colonoscopy in hereditary nonpolyposis colorectal cancer screening: a prospective “back-to-back” endoscopic study.<br> Am J Gastroenterol 2005; 100:2167-73 Hurlstone, D.P., Karajeh, M., Cross, S.S., McAlindon, M.E., Brown, S., Hunter, M.D., Sanders, D.S.<br> cancer in vivo.<br> Gastroenterology 2004;127(3):706-13. Kiesslich, R., Burg, J., Vieth, M., Gnaendiger, J., Enders, M., Delaney, P., Polglase, A., McLaren, W., Janell, D., Thomas, S., Nafe, B., Galle, P.R., Neurath, M.F.

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
60
Inclusion Criteria

1. Clinical diagnostic criteria for either HNPCC (Amsterdam II criteria , Bethesda criteria or genetic criteria) or familial colorectal cancer type X – (1) CRC diagnosed age < 50 years;

2. at least 2 first-degree relatives with CRC regardless of age;

Exclusion Criteria

1. Age < 18 years, presence of inflammatory bowel disease, or known polyposis syndromes;

2. Patients with incomplete endoscopic procedure due to anatomic or technique-related factors.

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome measure will be the number of patients with at least one adenoma after conventional colonoscopy compared with the number of patients with at least one adenoma after pan-chromoendoscopy.
Secondary Outcome Measures
NameTimeMethod
Secondary outcome measures assessing the diagnostic accuracy of combined pan-chromoendoscopy and confocal endomicroscopy are: total number of lesions detected; number of adenomas; number of advanced adenomas; number of flat lesions detected. <br><br>
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