Actively Recruiting

Age: 18Years +
All Genders
ID06230536

Contribution of High-resolution Manometry With Impedancemetry for the Evaluation of Esophageal Clearance in Achalasia

Led by University Hospital, Bordeaux · Updated on 2024-07-26

104

Participants Needed

1

Research Sites

39 weeks

Total Duration

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AI-Summary

What this Trial Is About

Researchers are investigating esophageal clearance in patients with achalasia who have been treated using POEM (Peroral Endoscopic Myotomy). The study aims to compare two methods of assessing esophageal clearance: high-resolution manometry with impedancemetry (HRiM) and timed barium esophagogram (TBE). This comparison may help determine if HRiM can replace TBE, which involves radiation exposure. The study also evaluates treatment outcomes using the Eckardt score, a clinical symptom score, and quality of life assessments. Patients treated with POEM undergo assessments before and after treatment, including the Eckardt score, TBE, and HRiM. Treatment failure is identified by an Eckardt score above 3 at three months after POEM. Incomplete esophageal clearance is defined by specific findings in HRiM or TBE at five minutes. The study observes these measures at three months and follows up with a one-year Eckardt score to understand long-term symptoms. All examinations are part of routine care. Participants will have symptom evaluations, esophageal clearance tests, and quality of life questionnaires at three months and one year after treatment. The study measures esophageal clearance and symptom scores to understand the effectiveness of the assessments. Quality of life is evaluated with several questionnaires. The study is observational and follows patients without altering their routine treatment. Participation lasts at least one year, with data collected during standard medical visits.

CONDITIONS

Brief Title

MARIMPACH : Contribution of High-resolution Manometry With Impedancemetry for the Evaluation of Esophageal Clearance in Achalasia

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients treated by POEM at Bordeaux University Hospital between October 2020 and September 2024
Not Eligible

You will not qualify if you...

  • Primary POEM failure
  • Lost to follow-up
  • Absence of completion of the Eckardt score, TBE, or HRiM assessments before or after POEM at 3 months

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Up to 1 week before treatment

Participants undergo pre-POEM assessment including esophageal clearance tests using High-resolution Manometry with Impedancemetry (HRiM) and timed barium esophagogram (TBE).

1 to 2 visits depending on assessments

Routine Care and Observation

Duration - 3 months post-treatment

Participants treated with POEM are observed with post-POEM assessments of esophageal clearance and symptom scores as part of routine healthcare.

Assessments at 3 months including esophageal clearance and quality of life questionnaires

Long-term Monitoring

Duration - Up to 12 months post-treatment

Participants have follow-up evaluations including the Eckardt score to estimate long-term symptoms and quality of life at one year after treatment.

1 visit at 12 months for symptom and quality of life assessment

Trial Site Locations

Total: 1 location

1

Chu de Bordeaux

Pessac, France

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Research Team

A

Arthur BERGER, MD

F

Florian GROUSEZ

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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