Evaluation of Biomechanical Forced During the Practice of Endoscopic Submucosal Dissection

NCT06549894 | Active Not Recruiting

• 1 other identifier: PI2024_843_0031
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

The prevalence of musculoskeletal disorders (MSDs) among endoscopists is estimated between 29 and 89%. The most common disorders are carpal tunnel syndrome, De Quervain tenosynovitis, lateral epicondylitis and neck pain. Factors associated with MSD among gastroenterologists practicing endoscopy are: the high number of procedures (more than 20/week), the procedure time (more than 16 hours/week) and the number of years of practice.With the evolution of digestive endoscopy superficial cancer can endoscopically be removed by endoscopic submucosal dissection (ESD) avoiding surgical resections. The number of procedures is increasing, with longer examination times in case of ESD (about 2 hours). This volume of hours and procedures may in the near future further increase the risk of MSDs in the population of gastroenterologists. Some good practice recommendations have been proposed to improve practitioner comfort, similar to what is recommended for digestive surgeons. It is recommended to use a height-adjustable examination table, position the screen at eye level, and use a seat during the procedure. There is little data on the biomechanical forced experienced by an endoscopist when performing endoscopy and colonoscopy, and none when performing ESD. The aim of this study is to evaluate the biomechanical forced experienced by the gastroenterologist during an ESD the practice of submucosal dissection.

Conditions

Endoscopic Submucosal Dissection; Physiology; Musculoskeletal Disorders

Keywords

Endoscopic submucosal dissection; biomechanic; physiology; Musculoskeletal Disorders

Outcome Measures

Primary Outcomes (1)

• variation of muscle angular during submucosal dissection

  day 1

Interventions

Performing endoscopic examinations PROCEDURE

Performing endoscopic examinations in the conventional framework of patient follow-up. No patient data is collected. The physician performing the act is the subject of the study.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult subject (age ≥ 18 years)
• hepato-gastroenterologist
• hepato-gastroenterologist performing endoscopic submucosal dissection
• Person who has given consent for participation in the study

You may not qualify if:

• non hepato-gastroenterologist
• Person who has not given consent for participation in the study

Sponsors & Collaborators

• Centre Hospitalier Universitaire, Amiens: lead
• Hospices Civils de Lyon: collaborator
• University Hospital, Lille: collaborator
• Rennes University Hospital: collaborator

Study Sites (1)

Centre Hospitalier Universitaire d'Amiens

Amiens, Picardie, 80000, France

Location

MeSH Terms

Conditions

Musculoskeletal Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 8, 2024
• First Posted: August 12, 2024
• Study Start: July 11, 2024
• Primary Completion (Estimated): September 1, 2026
• Study Completion (Estimated): September 1, 2026
• Last Updated: January 16, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)