Early Videocapsule Endoscopy for Upper Gastrointestinal Bleeding
ConditionSmall Bowel Bleeding
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-90
SponsorUniversity of Alberta
About this trial
The objective of this study is to determine whether early video capsule endoscopy (VCE) immediately after a negative gastroscopy in the setting of suspected upper gastrointestinal bleeding (UGIB) improves patient outcomes as compared to the standard approach which typically involves performing colonoscopy prior to small bowel investigations. We aim to examine the differences in diagnostic yield, total number of procedures, length of hospitalization, mortality rates, and healthcare cost between the two groups.
Eligibility criteria
Qualifiers
Age ≥ 18 years
The presence of melena/maroon stool on physical exam OR history of melena/maroon stool within 48 hours of emergency room presentation PLUS
Hemoglobin drop of ≥ 20 g/L from patient's baseline
Have capacity to consent
Disqualifiers
Inability to provide consent due to lack of capacity, language barrier or other reasons
Pregnant women
Prior history of small bowel surgery
Prior history of Crohn's disease
Trial design
Treatments tested in this trial
- Videocapsule endoscopy
Treatment groups
70 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov