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OpenTrials
Completed

NCT Number: NCT04633486

Endoscopically One-year Follow-up in Patients After Small-bowel Transplantation

Intestinal transplantation is associated with high numbers of ejection events. A close endoscopic controll of the intestinal graft is possible. Sasaki et al. presented 2002 an endoscopic score using zoom-endoscopes for early detection of rejection events.

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Key information

Age range

16 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University Hospital of Tuebingen

Tübingen, 72076, Germany

About this study

Small bowel transplantation is a potentially life-saving procedure for patients with irreversible gut failure, especially for those with total parenteral nutrition complications, inability to adapt to quality-of-life limitations posed by intestinal failure, and high risk of death if the native gut is not removed. Endoscopy provides the quickest method for assessing the overall health of graft mucosa and is essential in obtaining specimens from large areas for histologic evaluation, which continues to remain the gold standard for a diagnosis of rejection. Recently, the use of zoom videoendoscopy has been reported as a better evaluation of intestinal mucosa than the use of a standard endoscope. Acute cellular rejection in short-term follow-up, appears with acute and dramatic clinical symptoms (fever, vomiting, nausea, increased stomal output/diarrhea, abdominal pain, and distension), so that it is rarely predictable with surveillance.

Comparison of endoscopic and histo-pathologic findings should be performed.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • intestinal transplant recipients

Exclusion criteria

  • younger age (< 16)

Treatment and study plan

zoom-endoscopy

Diagnostic Test

Endoscopic monitoring of intestinal transplant recipients is done with zoom-endoscopes for exact diagnostic of intestinal mucosa.

Other names: ZVE

Primary outcomes

  1. Rate of congruent findings of zoom-endoscopy and pathological examinations

    Time frame: 12 months

    Reliability of zoom-endoscopy and pathological examinations

Sponsors and collaborators

Lead sponsor

University Hospital Tuebingen

Other

Registry information

Official study title

Endoscopically One-year Follow-up in Patients After Small-bowel Transplantation, Role of SASAKI Score

Important dates

Study start
2012
Primary completion
2019
Study completion
2019
First posted
Nov 18, 2020
Registry last updated
Nov 18, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.