RecruitingNot ApplicableNCT05818072

The Prevalence, Risk Factors and Optimal Biopsy Protocol of BE

The Prevalence, Risk Factors and Optimal Biopsy Protocol of Barrett's Esophagus in Taiwan - A Prospective Randomized Study


Sponsor

E-DA Hospital

Enrollment

165 participants

Start Date

Mar 13, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

Detections of goblet cells and dysplasia are crucial for diagnosis and determining the surveillance program of Barrett's esophagus (BE). However, the optimal biopsy numbers and their yield rates of intestinal metaplasia (IM) and dysplasia are still uncertain, especially in Asia. The aim of this study was to determine the optimal biopsy protocol of BE.


Eligibility

Min Age: 20 Years

Plain Language Summary

Simplified for easier understanding

This study looks at how common Barrett's esophagus — a condition where the lining of the food pipe changes due to long-term acid reflux — is in adults who have a type of cell change called columnar-lined esophagus. It also aims to find the best biopsy approach (tissue sampling method) to detect Barrett's esophagus during an endoscopy (a camera exam of the digestive tract). **You may be eligible if...** - You are an adult and have been found to have columnar-lined esophagus (a change in the cells lining the lower food pipe, detected during an endoscopy) **You may NOT be eligible if...** - You have previously had treatment for Barrett's esophagus - You have a history of upper digestive tract cancer - You have had your stomach fully or largely removed - You have esophageal varices (enlarged veins in the food pipe) - You have a bleeding disorder or are taking blood thinners Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDUREOne biopsy

To do one biopsy at the proximal part of the longest columnar-lined esophagus.

PROCEDUREThree biopsy

To do three biopsy at the proximal, middle and distal part of the longest columnar-lined esophagus.

PROCEDURESeattle protocol

To do 4-quadrant biopsy every 1-2 cm at the esophagogastric junction. Seattle protocol has been considered as the gold standard biopsy protocol for patients with suspected Barrett's Esophagus.

DEVICEEndoscopy

The participants will receive meticulous endoscopic examination with narrow-band imaging.


Locations(1)

E-DA Hospital

Kaohsiung City, Taiwan

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NCT05818072


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