Spots Global Cancer Trial Database for Surveillance and Image-Guided Biopsy of the Esophagus Using an OFDI Capsule

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Trial Identification

Brief Title: Surveillance and Image-Guided Biopsy of the Esophagus Using an OFDI Capsule

Official Title: Surveillance and Image-Guided Biopsy of the Esophagus Using an OFDI Capsule

Study ID: NCT02422433

Conditions

Barrett's Esophagus

Interventions

OFDI Capsule Marking

Study Description

Brief Summary: The purpose of this research is to test the feasibility, sensitivity, and specificity of the marking Optical Frequency Domain Imaging (OFDI) capsule for diagnosing Barrett's Esophagus (BE).

Detailed Description: A total of 130 subjects scheduled to undergo esophagogastroduodenoscopy (EGD) will be asked to swallow the OFDI capsule while being unsedated. The capsule is attached to a tether that allows the capsule operator to navigate the capsule as it progresses down the esophagus using natural propulsion called peristalsis as well as to bring it back up to pulled out of the mouth when the procedure is done. OFDI real-time images will be used for targeting of the region to be marked. Once in position, two cautery marks will be made to only the superficial layers of the esophageal mucosa. Following cautery marking, the capsule will be lowered in the esophagus and marked regions of interest will be reimaged for confirmation of the placement of potential cautery marks. Immediately following the completion of the experimental procedure, the standard of care with the performance of the surveillance endoscopy will be performed. Images obtained by the OFDI capsule will be compared to the images obtained by the clinical endoscopy and histology.