CAES for Internal Hemorrhoids and Rectal Prolapse
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Cap-assisted endoscopic sclerotherapy.
- Кому может быть актуально
- Состояния в реестре: Internal Hemorrhoid, Rectal Prolapse. Базовые параметры: Без ограничений · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Cap-assisted Endoscopic Sclerotherapy for Internal Hemorrhoids and Rectal Prolapse: a National Multi-centre Prospective Cohort Study
Обзор
Cap-assisted endoscopic sclerotherapy (CAES) is a new interventional therapy for internal hemorrhoids and rectal prolapse under colonoscopy. However, the long-term efficacy and safety of CAES in the treatment of internal hemorrhoids and rectal prolapse are still not clear due to the lack of large sample studies. Therefore, a nationwide multi-center, large sample, prospective and cohort study was designed to evaluate the efficacy and safety of CAES in the treatment of internal hemorrhoids and rectal prolapse, to provide reliable evidence for popularization of this minimally invasive technology.
Подробное описание
CAES is an innovative endoscopic sclerotherapy procedure which is different from traditional method. Firstly, the cap added to the front of colonoscope can fully expose the operating field. Secondly, before or during the opportunity of CAES, endoscopist can perform endoscopic differentiation diagnosis (such as tumors, inflammatory bowel disease and others induced hematochezia), endoscopic therapy within lower-gut based on the same colon preparation, thus saving patients' medical cost, physical and mental pain. The last but not least, specially designed length of endoscopic injection needle (eg.10-20 mm) was used in CAES could be helpful for accurately controlling the injection angle, direction, depth under direct vision and to avoid iatrogenic injury due to ectopic injection.The core value of CAES for internal hemorrhoids and rectal prolapse is to provide precise therapy, reduce the iatrogenic injuries, avoid pain during and after therapy. Our pilot studies demonstrated that CAES based on long injection needle is an effective, safe, convenient operation technique. 100% of participants underwent CAES showed sustained clinical efficacy within the 3-month follow-up, with no severe or obvious complications related to CAES. However, the long-term efficacy and safety of CAES in the treatment of internal hemorrhoids and rectal prolapse need to be confirmed by further large sample real world studies.
Вмешательства
- Процедура Cap-assisted endoscopic sclerotherapy
Cap-assisted endoscopic sclerotherapy (CAES) is an innovation technique for having advantages in accurately controlling the injection angle, direction, depth under direct vision of flexible endoscope.
Первичные конечные точки
- Recurrence rate [Срок оценки: 1st week to 24th week]
Вторичные конечные точки (7)
- Improvement rate [Срок оценки: 1st day, 1st week, 2nd week and 24th week]
- Failure rate [Срок оценки: 1st day, 1st week, 2nd week and 24th week]
- Three-level EuroQol five dimensions (ED-5Q) health scale scores [Срок оценки: 24th week]
- Adverse events (AEs) [Срок оценки: 1st day, 1st week, 2nd week and 24th week]
- severe adverse events (SAEs) severe adverse events (SAEs) severe adverse events (SAEs) Severe adverse events (SAEs) [Срок оценки: 1st day, 1st week, 2nd week and 24th week]
- Participants' attitudes toward CAES [Срок оценки: 24th week]
- Symptom severity score [Срок оценки: 1day and 24 weeks]
Критерии участия
Критерии включения
- Grade I-III internal hemorrhoids (with or without external hemorrhoids) or/and recal prolapse.
- Patients with bowel preparation.
Критерии исключения
- History of anoscopic/endoscopic sclerotherapy.
- Acute thrombotic hemorrhoids or grade IV internal hemorrhoids.
- Anal stenosis, perianal and perirectal abscess, anal fissure, fistula, fecal incontinence and other severe complications (such as severe anal pain).
- Inflammatory bowel disease.
- Full-thickness rectal prolapse through the anus.
- Acute diarrhea in the past 24 hours.
- Hypertensive with uncontrolled blood pressure.
- Cerebrovascular accident.
- Blood coagulation dysfunction.
- Pregnant women.
- Mental disorders.
- Decompensated cirrhosis.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Китай · 1 центр
- Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical Unive — Нанкин
Публикации
- Zhang T, Xu LJ, Xiang J, He Z, Peng ZY, Huang GM, Ji GZ, Zhang FM. Cap-assisted endoscopic sclerotherapy for hemorrhoids: Methods, feasibility and efficacy. World J Gastrointest Endosc. 2015 Dec 25;7(19):1334-40. doi: 10.4253/wjge.v7.i19.1334. PMID 26722615
- Tomiki Y, Ono S, Aoki J, Takahashi R, Sakamoto K. Endoscopic sclerotherapy with aluminum potassium sulfate and tannic acid for internal hemorrhoids. Endoscopy. 2014;46 Suppl 1 UCTN:E114. doi: 10.1055/s-0034-1364884. Epub 2014 Mar 27. No abstract available. PMID 24676816
- Tokunaga Y. Clinical utility of sclerotherapy with a new agent for treatment of rectal prolapse in patients with risks. J Clin Gastroenterol. 2014 Apr;48(4):356-9. doi: 10.1097/MCG.0b013e318299cab8. PMID 23751842
Идентификаторы
NCT: NCT04169152 · CAES-CN-191111