Navicam for Detection of Barrett's Esophagus
Use of a Detachable String Capsule for Evaluation of Barrett's Esophagus
Mayo Clinic
57 participants
Feb 20, 2025
INTERVENTIONAL
Conditions
Summary
Using a non-invasive capsule system to achieve optimal viewing angles of the esophagus for detection of Barrett's esophagus
Eligibility
Inclusion Criteria6
- Adults greater than or equal to 22 years of age with or without Barrett's Esophagus
- All Patients:
- o Have had an endoscopy within 1 year of baseline enrollment
- Patients with Barrett's Esophagus:
- Presence of at least 1cm of salmon colored mucosa with corresponding biopsies showing intestinal metaplasia who are treatment naïve and undergoing surveillance Or
- Chronic Gastro Esophageal Reflux Disease (GERD) patients with at least 3 additional risk factors that meet Barrett's Esophagus screening criteria per latest clinical guidelines
Exclusion Criteria10
- Inability to comprehend or read the consent form
- Have an oropharynx, esophageal, or gastro-esophageal tumor
- Ongoing symptoms of dysphagia
- Presence of active clinically significant stricture
- History of stricture requiring dilation
- Presence of pacemaker or implanted cardiac defibrillator
- History of esophageal surgery with the exception of fundoplication
- Pregnancy
- History of surgery or obstructive process of the small bowel
- BMI \> 38
Interventions
Subjects will swallow the NaviCam capsule with 20 ml water while positioned in the upright position. Once the capsule reaches the gastric cardia, the string will slowly be pulled up to systematically inspect the Z-line and upper, middle, and lower thirds of the esophagus guided by real-time viewing and by moving the capsule solely with the tether. Images will be captured at a rate of 2 frames per second.
Locations(1)
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NCT06748911