French Register of Duodenal Adenomas Characterization and Evaluation of Endoscopic Mucosectomy

Study Overview
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Brief Summary
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Sporadic duodenal adenomas are rare. As they are highly pre neoplastic, they should be removed and endoscopic mucosectomy is recommended during digestive endoscopy. However, this technique, albeit less dangerous than surgery, is associated with complications such as haemorrhages, perforations, and more relapse than that can be observed for colorectal adenomas. As no prospective data have been published this French multicenter study aim to analyze results of this technique under standardized and secured procedure. All investigators are expert in therapeutic endoscopy in tertiary centers and are member of a group of clinical researcher involved in that field ( GRAPHE  (Groupe de Recherche et d'Action des Praticiens Hospitaliers en Endoscopie interventionnelle). Results are highly expected among the international society of gastroenterologists who need to confirm the efficacy of endoscopy and define optimal conditions for performing adenomas resection in this location Primary End Point is the two years recurrence rate. Secondary End Points are frequency and type of complication after standardized endoscopic mucosectomy of duodenal adenomas, frequency and type of complications after a second endoscopic mucosectomy and patient's characteristics Patients with sporadic duodenal adenomas larger than 5 mm requiring endoscopic mucosectomy will be included. Non-inclusion criteria concern patients with previous endoscopic resection, lesion involving the major papilla, sub mucosal lesions, familial adenomatous polyposis and use of antiplatelet agent during the five last days. Hundred and twenty patients will be included and followed 2 years after mucosectomy.

Official Title
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French Register of Duodenal Adenomas Characterization and Evaluation of Endoscopic Mucosectomy

Conditions
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Duodenal Adenoma

Intervention / Treatment
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* Procedure: Endoscopic mucosectomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with sporadic duodenal adenomas larger than 5 mm requiring endoscopic mucosectomy Exclusion Criteria: patients with previous endoscopic resection, patients prsenting lesion involving the major papilla, sub mucosal lesions patient with familial adenomatous polyposis patient undergoing use of antiplatelet agent during the five last days

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Endoscopic mucosectomy<br> | Procedure: Endoscopic mucosectomy<br>* Performing adenoma resection through standardized endoscopic mucosectomy of duodenal adenoma.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of recurrence after surgery |  | 2 yeras |