New study pits two endoscopic techniques against each other for stomach blockage relief
NCT ID NCT03259763
First seen Jun 27, 2026 · Last updated Jul 07, 2026 · Updated 2 times
Summary
This study looked at 112 adults with stomach blockage caused by advanced cancer. It compared two less invasive procedures: one using an ultrasound-guided bypass and the other using a stent to open the blockage. The goal was to see which method better prevents the blockage from coming back and helps patients eat again.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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112 people
The number who actually took part.
- Started
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Oct 2020
- Finished
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Jan 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patients with malignant, symptomatic gastric outlet obstruction due to an unresectable malignant lesion * Gastric outlet obstruction scoring system (GOOSS) score of 0 (no oral intake) or 1 (liquids only) * Age 18-80 years Exclusion Criteria: * Evidence of other strictures in the gastrointestinal (GI) tract * Previous gastric, periampullary or duodenal surgery * World Health Organization (WHO) performance score of 4 (patient is 100% of time in bed) * Unable to fill out quality of life questionnaire * Unable to sign the informed consent * Life expectancy of less than 3 months based on the endoscopist's opinion * Cancer extending into the body of the stomach, 4th portion of the duodenum or proximal jejunum around the ligament of Treitz * Large volume ascites * Inability to tolerate sedated upper endoscopy due to cardiopulmonary instability, severe pulmonary disease or other severe comorbidities * Pregnant or breastfeeding women * Uncorrectable coagulopathy defined by INR \> 1.5 or platelet \< 50000/µl * Complete GOO evidenced by inability to either pass a wire across the stricture and/or inability to opacify small bowel distal to the malignant stricture * Resectable or borderline resectable tumors * One of the two techniques (EUS-GE and ES) cannot be performed (at the discretion of the endoscopist)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Asian Institute of Gastroenterology
Hyderabad, India
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Ecuadorian Institute of Digestive Diseases (IECED)
Guayaquil, Ecuador
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Emek Medical Center
Afula, 1834111, Israel
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Hospital Prive des Peupliers
Paris, France
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Hospital Universitario Rio Hortega
Valladolid, 47012, Spain
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The Johns Hopkins Hospital
Baltimore, Maryland, 21287, United States
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The Research Institute of McGill University Health Centre
Montreal, Quebec, Canada
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Wake Forest Baptist University
Winston-Salem, North Carolina, 27157, United States
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Yale University
New Haven, Connecticut, 06520, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a modified stomach bypass speed up recovery in advanced gastric cancer?
- New scope procedure vs. surgery: which unblocks the stomach faster?
- Magnets replace knives: new procedure eases stomach blockages
- New surgery aims to eater eating for stomach cancer patients
- Which procedure best unblocks the stomach in pancreatic cancer?
- New registry tracks outcomes of advanced ultrasound-guided procedures for gut and bile duct problems