Status:

COMPLETED

Short Vs Standard Length Myotomy in Achalasia

Lead Sponsor:

Northwestern University

Conditions:

Achalasia

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The objective of this randomized controlled trial (non-inferiority study) is to evaluate the outcomes of 4 cm short myotomy compared to the 8 cm standard length myotomy in Per-Oral Endoscopic Myotomy ...

Detailed Description

BACKGROUND: Achalasia is a disorder of esophageal dysmotility characterized by dysfunctional peristalsis and increased lower esophageal sphincter (LES) tone. Achalasia is further divided into three s...

Eligibility Criteria

Inclusion

  • All patients aged 18+ diagnosed with Type I or Type II achalasia, and patients with EGJ Outflow Obstruction with features of achalasia based on HRM or Endoscopic Functional Lumen Imaging Probe (EndoFLIP)
  • All subjects must have given signed, informed consent prior to registration in the study

Exclusion

  • Patient with Type III achalasia or spastic esophageal dysmotility disorders requiring long myotomy as determined by HRM
  • All patients who are unable or unwilling to give consent will not be included in the study
  • Patients who are pregnant, vulnerable populations such as prisoners, life expectancy \< 1 year based on concurrent comorbidities, coagulopathy with INR \> 1.5 that cannot be reversed, thrombocytopenia with platelets \< 50,000 that cannot be corrected with blood products, unable to safely undergo elective endoscopy due to current comorbidities, and inability to pass standard endoscope.
  • Patients who have already undergone treatment with POEM or Heller Myotomy

Key Trial Info

Start Date :

June 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 29 2024

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT04798547

Start Date

June 1 2020

End Date

February 29 2024

Last Update

March 15 2024

Active Locations (1)

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1

Northwestern Memorial Hospital

Chicago, Illinois, United States, 60611