About this trial
The aim of this multi-center study is to prospectively document the clinical utility of ESD.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
a. Age 18 years or older.
b. Scheduled to undergo ESD as part of their standard of care.
Disqualifiers
a. Any contraindication to performing endoscopy.
b. Participation in another research protocol that could interfere or influence the outcome measures of the present study.
c. Patient is unable/unwilling to provide informed consent.
Trial population
Patients scheduled to undergo ESD at the University of Florida and participating centers as medically indicated and part of their standard of care
Trial design
Cohort
Prospective
Treatments tested in this trial
Endoscopic Submucosal Dissection
Other interventionThis intervention is part of the subjects standard of care and is a method to remove the Gastrointestinal lesion.
Treatment groups
Trial outcomes
Primary outcomes
Rate of en-bloc resection
An Excision of the targeted lesion in a single specimen
Secondary outcomes
Rate of R0 resection
when all vertical and horizontal margins are negative
Rate of R1 resection
complete resection with no grossly visible lesion defined by endoscopist but microscopically positive horizontal and /or vertical margins
Curative resection
this will have the following: R0 resection, Well to moderately differentiated histology, Absence of Lymphovascular invasion, Absence of budding, Absence of invasion beyond superficial submucosa
Rate of Adverse events with ESD
Early (\<48 hours) and late (\>48 hours) adverse events defined based on previously established criteria by the American Society of Gastrointestinal Endoscopy (ASGE)
Sponsors and contacts
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