- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02662777
Eso-Sponge Registry
International, Prospective, Multicenter Registry Designed to Collect Clinical Evidence for Endoscopic Vacuum Treatment Using Eso-SPONGE® for Anastomotic Leakage After Esophageal Resection or Iatrogenic or Spontaneous Esophageal Perforation.
Study Overview
Status
Intervention / Treatment
Detailed Description
Anastomotic Leakages or other defects in the upper gastrointestinal tract can have serious consequences for the affected patients. Different parameters, like the size, location, time to diagnosis of the lesion, but also the general condition of the patient, have a significant influence on the clinical outcome of the patient. Often this situation is accompanied by symptoms of sepsis and a significant morbidity rate with corresponding substantial mortality rate. For this reason the treatment of this clinical situation is often a challenge for the clinician.
Besides surgical examination and the endoscopic stent system, good experiences have been obtained with the Endo-SPONGE® therapy for the lower gastrointestinal tract. In the future the endoluminal vacuum therapy for the upper gastrointestinal is available, too, with Eso-SPONGE®.
Eso-SPONGE® represent an innovative therapy concept for the treatment of this problem in the upper gastrointestinal tract, which can contribute significantly to the reduction of morbidity and mortality of the patients.
The overall success rate of endoscopic esophageal vacuum therapy in the literature ranges from 80-100%. Currently only cohort studies including a small number of patients have been performed and published. Therefore an international, prospective and multicenter registry was designed to collect clinical evidence for Eso-SPONGE treatment concept in a large population under daily clinical routine.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Petra Baumann, Dr.
- Phone Number: 1646 +49-7461-95
- Email: petra.baumann@aesculap.de
Study Locations
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Bad Berka, Germany, 99437
- Recruiting
- Zentralklinik Bad Berka
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Contact:
- Katrin Eberle, Dr.
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Freiburg, Germany, 70106
- Recruiting
- Universitätsklinikum Freiburg
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Contact:
- Jens Höppner, Prof. Dr.
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Greifswald, Germany, 17475
- Recruiting
- Universitätsmedizin Greifswald
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Contact:
- Susann Glitsch, Dr.
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Heinsberg, Germany, 52525
- Recruiting
- Städtisches Krankenhaus Heinsberg
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Contact:
- Carsten Triller, Dr.
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Köln, Germany, 50678
- Recruiting
- Krankenhaus der Augustinerinnen
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Contact:
- Tobias Beckurts, Prof. Dr.
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Tübingen, Germany, 72076
- Recruiting
- Universitätsklinikum Tübingen
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Contact:
- Doerte Wichmann
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Baden-Württemberg
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Pforzheim, Baden-Württemberg, Germany, 75179
- Recruiting
- Siloah St. Trudpert Klinikum
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Contact:
- Thomas Kijak, Dr.
- Phone Number: +49-7231-4984701
- Email: t.kijak@siloah.de
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Hessen
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Frankfurt, Hessen, Germany, 60389
- Recruiting
- Sankt Katharinen Krankenhaus
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Contact:
- Thorsten Morlang, Dr.
- Phone Number: 1448 +4969 4603-
- Email: morlang@sankt-katharinen-ffm.de
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Herford, Hessen, Germany, 32049
- Recruiting
- Klinikum Herford
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Contact:
- Günther Winde, Prof. Dr.
- Phone Number: +49-5221 942421
- Email: prof.winde@klinikum-herford.de
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Lich, Hessen, Germany, 35423
- Recruiting
- Asklepios Klinik
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Contact:
- Thilo Schwandner, Dr.
- Phone Number: +49-6404 81292
- Email: allgemeinchirurgie.lich@asklepios.coh
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Niedersachsen
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Lüneburg, Niedersachsen, Germany, 21339
- Recruiting
- Klinikum Lüneburg, Klinik für Allgemein-, Viszeral- & Thoraxchirurgie
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Contact:
- Bodo Schniewind, Prof.Dr.
- Phone Number: 2201 +49-4131-77-
- Email: chirurgische.klinik@klinikum-lueneburg.de
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Wilhelmshaven, Niedersachsen, Germany, 26389
- Recruiting
- Klinikum Wilhelmshaven
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Contact:
- Marcus Schmitt, Dr.
- Phone Number: 1142 +49-4421 89-
- Email: Marcus.Schmitt@Klinikum-WHV.de
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Nordrhein-Westfalen
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Bochum, Nordrhein-Westfalen, Germany, 44791
- Recruiting
- Augusta-Kliniken GmbH
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Contact:
- Alexander Calderoni, Dr.
- Phone Number: +49-152 5645 8742
- Email: calderoni@augusta-bochum.de
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Dortmund, Nordrhein-Westfalen, Germany, 44137
- Recruiting
- St. Johannes-Hospital Dortmund
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Contact:
- Kester Tüffers, Dr.
- Phone Number: 35227 +49-231 1843-
- Email: Kester.Tueffers@joho-dortmund.de
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Herne, Nordrhein-Westfalen, Germany, 44623
- Recruiting
- EVK Herne
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Contact:
- Dirk Kompa, Dr.
- Phone Number: 1062 +49- 498-
- Email: d.kompa@evk-herne.de
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Contact:
- Annika Machleit
- Phone Number: 1062 +49- 498-
- Email: a.machleit@evkhg-herne.de
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Schleswig-Holstein
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Kiel, Schleswig-Holstein, Germany, 24105
- Recruiting
- Universitätsklinikum Kiel
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Contact:
- Clemens Schafmayer, Prof.Dr.
- Phone Number: 4364 +49-431-597-
- Email: clemens.schafmayer@uksh.de
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Principal Investigator:
- Nils Heits, Dr.
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Thüringen
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Gera, Thüringen, Germany, 07548
- Recruiting
- Wald-Klinikum Gera
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Contact:
- Arnold Falk, Dr.
- Phone Number: +49-365 8281707
- Email: Falk.Arnold@wkg.srh.de
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Endoscopic vacuum therapy (EVT) of anastomotic leakage after esophageal resection or spontaneous or iatrogenic perforations
- age > 18 years
- written informed consent
Exclusion Criteria:
- none
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Eso-SPONGE® vacuum treatment
leakage after esophagectomy and gastrectomy, perforation of the esophagus
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Healing rate of the esophageal anastomosis leakage or esophageal perforation
Time Frame: until day of discharge (approximately 2 weeks)
|
Reduction of the cavity, endoscopic vacuum therapy no longer necessary
|
until day of discharge (approximately 2 weeks)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Eso-SPONGE® changes
Time Frame: until day of discharge (approximately 2 weeks)
|
until day of discharge (approximately 2 weeks)
|
|
Total number of sponges used
Time Frame: until day of discharge (approximately 2 weeks)
|
Total number of Eso-SPONGE® units used until day of discharge
|
until day of discharge (approximately 2 weeks)
|
Average replacement intervals
Time Frame: until day of discharge (approximately 2 weeks)
|
Period of time between exchange of ESO-Sponge®
|
until day of discharge (approximately 2 weeks)
|
Duration of endoscopic vacuum therapy
Time Frame: until day of discharge (approximately 2 weeks)
|
Number of days during which Eso-SPONGE® was applied
|
until day of discharge (approximately 2 weeks)
|
Complication Rate
Time Frame: until day of discharge (approximately 2 weeks)
|
Number of Complications during endoscopic vacuum treatment (e.g.
death, re-operations, stenosis, pneumonia, peritonitis, mediastinitis)
|
until day of discharge (approximately 2 weeks)
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Clemens Schafmayer, Prof. Dr., Universitätsklinikum Kiel
Publications and helpful links
General Publications
- Ahrens M, Schulte T, Egberts J, Schafmayer C, Hampe J, Fritscher-Ravens A, Broering DC, Schniewind B. Drainage of esophageal leakage using endoscopic vacuum therapy: a prospective pilot study. Endoscopy. 2010 Sep;42(9):693-8. doi: 10.1055/s-0030-1255688. Epub 2010 Aug 30.
- Bludau M, Holscher AH, Herbold T, Leers JM, Gutschow C, Fuchs H, Schroder W. Management of upper intestinal leaks using an endoscopic vacuum-assisted closure system (E-VAC). Surg Endosc. 2014 Mar;28(3):896-901. doi: 10.1007/s00464-013-3244-5. Epub 2013 Oct 23.
- Brangewitz M, Voigtlander T, Helfritz FA, Lankisch TO, Winkler M, Klempnauer J, Manns MP, Schneider AS, Wedemeyer J. Endoscopic closure of esophageal intrathoracic leaks: stent versus endoscopic vacuum-assisted closure, a retrospective analysis. Endoscopy. 2013 Jun;45(6):433-8. doi: 10.1055/s-0032-1326435. Epub 2013 Jun 3.
- Gubler C, Schneider PM, Bauerfeind P. Complex anastomotic leaks following esophageal resections: the new stent over sponge (SOS) approach. Dis Esophagus. 2013 Aug;26(6):598-602. doi: 10.1111/dote.12005. Epub 2012 Nov 30.
- Heits N, Stapel L, Reichert B, Schafmayer C, Schniewind B, Becker T, Hampe J, Egberts JH. Endoscopic endoluminal vacuum therapy in esophageal perforation. Ann Thorac Surg. 2014 Mar;97(3):1029-35. doi: 10.1016/j.athoracsur.2013.11.014. Epub 2014 Jan 18.
- Kuehn F, Schiffmann L, Rau BM, Klar E. Surgical endoscopic vacuum therapy for anastomotic leakage and perforation of the upper gastrointestinal tract. J Gastrointest Surg. 2012 Nov;16(11):2145-50. doi: 10.1007/s11605-012-2014-3. Epub 2012 Sep 5.
- Lenzen H, Negm AA, Erichsen TJ, Manns MP, Wedemeyer J, Lankisch TO. Successful treatment of cervical esophageal leakage by endoscopic-vacuum assisted closure therapy. World J Gastrointest Endosc. 2013 Jul 16;5(7):340-5. doi: 10.4253/wjge.v5.i7.340.
- Loske G, Schorsch T. [Endoscopic intraluminal vacuum therapy of complete esophageal-jejunal anastomotic rupture: a case report.] Viszeralmedizin. 2011; 27: 166-168.
- Loske G, Schorsch T, Muller C. Intraluminal and intracavitary vacuum therapy for esophageal leakage: a new endoscopic minimally invasive approach. Endoscopy. 2011 Jun;43(6):540-4. doi: 10.1055/s-0030-1256345. Epub 2011 Mar 29.
- Loske G, Schorsch T, Müller C. Intraluminale und intracavitäre Vakuumtherapie bei Ösophagusdefekten. Z Gastroenterol. 2010; 48: 19.
- Loske G, Schorsch T, Müller C. Erste Erfahrungen mit der intraluminalen endoskopischen Vakuumschwammtherapie zur Behandlung von Duodenaldefekten. Z Gastroenterol. 2010; 48: 55
- Loske G, Schorsch T, Muller C. Endoscopic intracavitary vacuum sponge therapy of anastomotic leakage in the proximal colon after right-sided colectomy. Endoscopy. 2010;42 Suppl 2:E171-2. doi: 10.1055/s-0029-1244177. Epub 2010 Jun 16. No abstract available.
- Loske G, Schorsch T, Muller C. Endoscopic intracavitary vacuum therapy of Boerhaave's syndrome: a case report. Endoscopy. 2010;42 Suppl 2:E144-5. doi: 10.1055/s-0029-1244092. Epub 2010 Apr 19. No abstract available.
- Loske G, Schorsch T, Muller C. Endoscopic vacuum sponge therapy for esophageal defects. Surg Endosc. 2010 Oct;24(10):2531-5. doi: 10.1007/s00464-010-0998-x. Epub 2010 Mar 24.
- Loske G, Schorsch T, Mueller CT. Endoscopic intraluminal vacuum therapy of duodenal perforation. Endoscopy. 2010;42 Suppl 2:E109. doi: 10.1055/s-0029-1243947. Epub 2010 Mar 19. No abstract available.
- Loske G, Schorsch T. [Intraluminale Vakuumtherapie - ein innovativer endoskopischer Ansatz zur Therapie von duodenalen Leckagen.] Endoscopy. 2010; 23 (4). 267-269.
- Loske G, Muller C. Endoscopic vacuum-assisted closure of upper intestinal anastomotic leaks. Gastrointest Endosc. 2009 Mar;69(3 Pt 1):601-2; author reply 602. doi: 10.1016/j.gie.2008.06.058. No abstract available.
- Loske G, Muller C. [Vacuum therapy of an esophageal anastomotic leakage--a case report]. Zentralbl Chir. 2009 Jun;134(3):267-70. doi: 10.1055/s-0028-1098764. Epub 2009 Apr 22. German.
- Murphy T, Jobe BA. Endoluminal management of anastomotic dehiscence after esophagectomy: an increasing quiver of options reflects the difficulty in realizing a definitive therapy. Gastrointest Endosc. 2010 Feb;71(2):387-9. doi: 10.1016/j.gie.2009.09.033. No abstract available.
- Saadi A, Perentes JY, Gonzalez M, Tempia AC, Wang Y, Demartines N, Ris HB, Krueger T. Vacuum-assisted closure device: a useful tool in the management of severe intrathoracic infections. Ann Thorac Surg. 2011 May;91(5):1582-9. doi: 10.1016/j.athoracsur.2011.01.018. Epub 2011 Feb 26.
- Schniewind B, Schafmayer C, Voehrs G, Egberts J, von Schoenfels W, Rose T, Kurdow R, Arlt A, Ellrichmann M, Jurgensen C, Schreiber S, Becker T, Hampe J. Endoscopic endoluminal vacuum therapy is superior to other regimens in managing anastomotic leakage after esophagectomy: a comparative retrospective study. Surg Endosc. 2013 Oct;27(10):3883-90. doi: 10.1007/s00464-013-2998-0. Epub 2013 May 25.
- Schniewind B, Schafmayer C, Both M, Arlt A, Fritscher-Ravens A, Hampe J. Ingrowth and device disintegration in an intralobar abscess cavity during endosponge therapy for esophageal anastomotic leakage. Endoscopy. 2011;43 Suppl 2 UCTN:E64-5. doi: 10.1055/s-0030-1255799. Epub 2011 Feb 21. No abstract available.
- Schorsch T, Muller C, Loske G. Pancreatico-gastric anastomotic insufficiency successfully treated with endoscopic vacuum therapy. Endoscopy. 2013;45 Suppl 2 UCTN:E141-2. doi: 10.1055/s-0032-1326260. Epub 2013 May 28. No abstract available.
- Schorsch T, Muller C, Loske G. Endoscopic vacuum therapy of anastomotic leakage and iatrogenic perforation in the esophagus. Surg Endosc. 2013 Jun;27(6):2040-5. doi: 10.1007/s00464-012-2707-4. Epub 2012 Dec 18.
- Wallstabe I, Tiedemann A, Schiefke I. Endoscopic vacuum-assisted therapy of infected pancreatic pseudocyst using a coated sponge. Endoscopy. 2012;44 Suppl 2 UCTN:E49-50. doi: 10.1055/s-0031-1291525. Epub 2012 Mar 6. No abstract available.
- Wallstabe I, Tiedemann A, Schiefke I. Endoscopic vacuum-assisted therapy of an infected pancreatic pseudocyst. Endoscopy. 2011;43 Suppl 2 UCTN:E312-3. doi: 10.1055/s-0030-1256643. Epub 2011 Sep 13. No abstract available.
- Wallstabe I, Plato R, Weimann A. Endoluminal vacuum therapy for anastomotic insufficiency after gastrectomy. Endoscopy. 2010;42 Suppl 2:E165-6. doi: 10.1055/s-0029-1244150. Epub 2010 Jun 16. No abstract available.
- Wallstabe I, Weimann A. Eine neue endoskopische Technik im Management der Anastomoseinsuffizienz nach Ösophaguschirurgie. Z Gastroenterol 2007; 45
- Wedemeyer J, Lankisch T. [Endoscopic vacuum-assisted closure]. Internist (Berl). 2013 Mar;54(3):309-14. doi: 10.1007/s00108-012-3182-7. German.
- Wedemeyer J, Schneider AS, Winkler M, Manns MP. Endoskopische Vakuumtherapie bei Perforationen und Anastomoseninsuffizienzen. Gastroenterologe. 2011; 6 (2): 120-123.
- Wedemeyer J, Brangewitz M, Kubicka S, Jackobs S, Winkler M, Neipp M, Klempnauer J, Manns MP, Schneider AS. Management of major postsurgical gastroesophageal intrathoracic leaks with an endoscopic vacuum-assisted closure system. Gastrointest Endosc. 2010 Feb;71(2):382-6. doi: 10.1016/j.gie.2009.07.011. Epub 2009 Oct 30.
- Wedemeyer J, Helfritz FA, Brangewitz M, Winkler M, Manns MP, Schneider A. Endoskopische Vakuum-Schwamm-Therapie bei Leckagen im Verdauungstrakt . Gastrointest Endosc 2009; 23 (1): 41-45.
- Wedemeyer J, Schneider A, Manns MP, Jackobs S. Endoscopic vacuum-assisted closure of upper intestinal anastomotic leaks. Gastrointest Endosc. 2008 Apr;67(4):708-11. doi: 10.1016/j.gie.2007.10.064.
- Weidenhagen R, Hartl WH, Gruetzner KU, Eichhorn ME, Spelsberg F, Jauch KW. Anastomotic leakage after esophageal resection: new treatment options by endoluminal vacuum therapy. Ann Thorac Surg. 2010 Nov;90(5):1674-81. doi: 10.1016/j.athoracsur.2010.07.007.
- Wettstein M, Frieling T, Luthen R, Heintges T, Niederau C, Oette M, Vogt C, Vom Dahl S. [Endoscopic therapy for leaks in the gastrointestinal tract, the bile ducts and the pancreas]. Z Gastroenterol. 2011 Jun;49(6):740-8. doi: 10.1055/s-0031-1273422. Epub 2011 Jun 1. German.
- Richter F, Hendricks A, Schniewind B, Hampe J, Heits N, von Schonfels W, Reichert B, Eberle K, Ellrichmann M, Baumann P, Egberts JH, Becker T, Schafmayer C. Eso-Sponge(R) for anastomotic leakage after oesophageal resection or perforation: outcomes from a national, prospective multicentre registry. BJS Open. 2022 Mar 8;6(2):zrac030. doi: 10.1093/bjsopen/zrac030.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- AAG-O-H-1317
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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