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Trial of Electrosurgical Incision Versus Bougie Dilation of Symptomatic Lower Esophageal (Schatzki's) Rings

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00204750
Recruitment Status : Completed
First Posted : September 20, 2005
Last Update Posted : January 4, 2008
PriCara, Unit of Ortho-McNeil, Inc.
Information provided by:
University of Utah

Brief Summary:
The primary objective of this study is to compare the efficacy of bougie dilation to electrosurgical incision of symptomatic schatzki's rings at one year follow-up in the presence of rabeprazole treatment. All patients will be followed for one year for recurrence and/or severity of dysphagia and will be placed on rabeprazole for that time period.

Condition or disease Intervention/treatment Phase
Lower Esophageal Ring Dysphagia Procedure: Bougie Dilation Procedure: Needle-knife incision Phase 2 Phase 3

Detailed Description:
Fifty consecutive patients referred for endoscopic evaluation at endoscopy labs at the University of Utah Health Sciences Center and the Salt Lake City VA Medical Center for dysphagia will be enrolled in the study prior to endoscopy. If a Schatzki's Ring is found at endoscopy, the patient will be randomized to electrosurgical incision or standard bougie dilation. Patients will be placed on rabeprazole for one year. Follow-up on recurrence and/or severity of dysphagia will be analyzed at interim time periods (1,3,6, 9 12 months).

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 50 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Randomized, Prospective Trial of Electrosurgical Incision Followed by Rabeprazole Versus Bougie Dilation Followed by Rabeprazole of Symptomatic Lower Esophageal (Schatzki's) Rings
Study Start Date : August 2001
Actual Primary Completion Date : December 2006
Actual Study Completion Date : December 2006

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Active Comparator: 1
Bougie dilation
Procedure: Bougie Dilation
Bougie dilation will be performed as standard
Other Name: Maloney dilation

Experimental: 2
Needle-knife incision
Procedure: Needle-knife incision
Needle-knife incision will be performed

Primary Outcome Measures :
  1. Recurrence at one year of Schatzki's ring [ Time Frame: One year ]

Secondary Outcome Measures :
  1. GERD score at 1,3,6,9,12 month time intervals [ Time Frame: one year ]
  2. Dysphagia score at 1,3,6,9,12 month time intervals [ Time Frame: one year ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Between the ages of 18-80 with symptomatic Schatzki's ring
  • No history of bleeding diathesis or other contraindication to bougie dilation or electrosurgical incision

Exclusion Criteria:

  • Contraindication to proton pump inhibitors
  • Pregnancy
  • Inability to provide informed consent
  • History of previous esophagogastric surgery
  • Presence of esophageal peptic stricture, esophageal motility disorder or esophageal cancer that could otherwise account for dysphagia
  • Nasopharyngeal lesion or nasal intubation intolerance causing inability to undergo esophageal motility testing and ambulatory pH monitoring

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00204750

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United States, Utah
University of Utah HSC
Salt Lake City, Utah, United States, 84132
Sponsors and Collaborators
University of Utah
PriCara, Unit of Ortho-McNeil, Inc.
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Study Director: John Fang, M.D. University of Utah HSC
Principal Investigator: James A DiSario, M.D. University of Utah HSC
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Responsible Party: University of Utah Identifier: NCT00204750    
Other Study ID Numbers: 8953
First Posted: September 20, 2005    Key Record Dates
Last Update Posted: January 4, 2008
Last Verified: December 2007
Keywords provided by University of Utah:
lower esophageal ring
electrosurgical incision
bougie dilation
Additional relevant MeSH terms:
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Deglutition Disorders
Dilatation, Pathologic
Esophageal Diseases
Gastrointestinal Diseases
Digestive System Diseases
Pharyngeal Diseases
Otorhinolaryngologic Diseases
Pathological Conditions, Anatomical