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Endoscopic Mucosal Resection (EMR) for Diagnosis of Hirschsprung's Disease (EDGE)

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ClinicalTrials.gov Identifier: NCT00671684
Recruitment Status : Unknown
Verified May 2008 by Massachusetts General Hospital.
Recruitment status was:  Enrolling by invitation
First Posted : May 5, 2008
Last Update Posted : May 5, 2008
Sponsor:
Information provided by:

Study Description
Brief Summary:
The purpose of this study is to compare the diagnostic yield with endoscopic mucosal resection (EMR) in hirschsprung's disease versus that of standard rectal suction biopsy. In order to compare EMR versus rectal suction biopsy, patients' diagnostic specimens will be analyzed by tissue size, the presence of submucosal tissue, and positive acteylcholinesterase staining. Additionally, the proportion of patients who would have required subsequent full thickness surgical biopsy with each technique will be compared. Biopsy results will be compared with clinical data including history, Bristol stool scale, anorectal manometry results and SITZ markers studies. Finally, the estimated costs that would have been incurred with each method will be evaluated.

Condition or disease Intervention/treatment Phase
Chronic Constipation Hirschsprung's Disease Procedure: Endoscopic Mucosal Resection (EMR) Phase 1 Phase 2

Study Design

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 50 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: Endoscopic Mucosal Resection for the Diagnosis of a-Ganglionosis, a Controlled Prospective Trial
Study Start Date : October 2007
Estimated Primary Completion Date : April 2009
Estimated Study Completion Date : April 2009


Arms and Interventions

Intervention Details:
    Procedure: Endoscopic Mucosal Resection (EMR)
    EMR is a common procedure in gastroenterology. The technique involves placing a band around a piece of mucosa in the GI tract. The band and the tissue are then removed using a cautery snare. The technique can be used to obtain tissue for diagnostic purposes or to remove lesions for therapeutic purposes.

Outcome Measures

Primary Outcome Measures :
  1. The major goal of this study is to test the hypothesis that EMR will result in a higher proportion of diagnostic specimens than RSB in patients sent for rectal suction biopsy. [ Time Frame: April 2009 ]

Secondary Outcome Measures :
  1. Secondary outcome variables include the size of the specimen, the presence of ganglionic tissue, the presence of submucosal tissue, and the positivity of the acetylcholinesterase stain. [ Time Frame: April 2009 ]

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   10 Years and older   (Child, Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients offered a rectal suction biopsy

Exclusion Criteria:

  • any contraindication to general anesthesia or conscious sedation
  • contraindication to endoscopy
  • untreated or unmanageable coaguloapathy
  • thrombocytopenia (<50)
  • inability to provide informed consent.
Contacts and Locations

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 ClinicalTrials.gov identifier (NCT number): NCT00671684


Locations
United States, Massachusetts
Massachusetts General Hosptial
Boston, Massachusetts, United States, 02114
Sponsors and Collaborators
Massachusetts General Hospital
Investigators
Study Director: Field F Willingham, MD, MPH MGH
Study Director: Garrett C Zella, MD MGH
Study Director: Mari Mino-Kenudson, MD MGH
Principal Investigator: Braden Kuo, MD MGH
Study Director: William R Brugge, MD, FASGE MGH
Principal Investigator: Leonel Rodriguez, MD MGH
Study Director: Clarissa Foy, NP MGH
More Information

Responsible Party: Leonel Rodriguez, MD, Massachusetts General Hosptial
ClinicalTrials.gov Identifier: NCT00671684     History of Changes
Other Study ID Numbers: 2007P001577
First Posted: May 5, 2008    Key Record Dates
Last Update Posted: May 5, 2008
Last Verified: May 2008

Keywords provided by Massachusetts General Hospital:
Hirschsprung's disease
Constipation
Endoscopy, digestive system
Diagnosis
Colonoscopy

Additional relevant MeSH terms:
Hirschsprung Disease
Constipation
Signs and Symptoms, Digestive
Signs and Symptoms
Digestive System Abnormalities
Digestive System Diseases
Megacolon
Colonic Diseases
Intestinal Diseases
Gastrointestinal Diseases
Congenital Abnormalities