Endoscopic Stenting of Gastrointestinal Cancer
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Purpose
Obstruction of the digestive tract is a frequent cause of morbidity in patients with gastrointestinal cancer.Palliative endoscopic treatment with self- expanding metal stents(SEMS)is an alternative to palliative surgery and other palliative treatment options.The method has expanded to include patients with malignancies in the esophagus,gastroduodenal region, biliary tractus and colon. Numerous retrospective studies have reported treatment with SEMS to be safe and effective. Prospective studies,and especially studies regarding Quality of Life improvement are needed.
PURPOSE:
The purpose of this trial is to prospectively study the use and effect of selfexpanding metal stents(SEMS)in a defined population i Norway, especially Quality of Life changes.
| Condition | Intervention |
|---|---|
|
Gastrointestinal Neoplasms Biliary Tract Neoplasms |
Procedure: Endoscopic stenting |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Palliative Endoscopic Treatment of Malignant GI-strictures With Self Expanding Metal Stents(SEMS)-a Prospective Multicenter Study |
- Change/improvement i Quality of life
- Need for reintervention
- Change/improvement in gastric emptying
- Rehospitalisations
- Complications
- Death
| Enrollment: | 270 |
| Study Start Date: | October 2006 |
| Study Completion Date: | April 2010 |
| Primary Completion Date: | April 2009 (Final data collection date for primary outcome measure) |
The study is divided into four projects:
- Establish a central register over all patients with malignant GI-obstruction who are treated with SEMS in the Eastern health region in Norway .Treatment incidence, methods used, treatment effect,complications related to the procedure,Need for reinterventions, hospitalisations and survival will be studied.
- Quality of life(QoL) studies will be performed before and 14 days after treatment.The EORTC QLQ C30 and EORTCs organospecific modules will be used.
- Gastric emptying before/after stent will be studied.
- Evaluate SEMS treatment of acute colon obstruction, as a permanent palliative treatment or as a "bridge to surgery"
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Palliative SEMS treatment for malignant GI-obstruction in esophagus,gastroduodenal region, biliary tractus or colon
- SEMS treatment of acute malignant colon obstruction as a bridge to surgery
Exclusion Criteria:
- Not able to sign informed consent
- SEMS placement in other location last 4 days
Contacts and Locations| Norway | |
| Sentral Hospital Buskerud | |
| Drammen, Norway | |
| Sentral Hospital Østfold | |
| Fredrikstad, Norway | |
| Sykehuset Innlandet Gjøvik | |
| Gjøvik, Norway | |
| Sykehuset Innlandet Lillehammer | |
| Lillehammer, Norway | |
| Aker University Hospital | |
| Oslo, Norway | |
| Ullevaal University Hospital | |
| Oslo, Norway, 0407 | |
| AHUS University Hospital | |
| Oslo, Norway | |
| Study Director: | Truls Hauge, MD,PhD | Ullevaal University Hospital |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00422409 History of Changes |
| Other Study ID Numbers: | 672 |
| Study First Received: | January 16, 2007 |
| Last Updated: | July 3, 2011 |
| Health Authority: | Norway:National Committee for Medical and Health Research Ethics |
Keywords provided by Oslo University Hospital:
|
SEMS |
Additional relevant MeSH terms:
|
Biliary Tract Neoplasms Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms |
Neoplasms by Site Biliary Tract Diseases Digestive System Diseases Gastrointestinal Diseases |
ClinicalTrials.gov processed this record on May 19, 2013