Comparing Early Capsule Deployment to Current Standard of Care for Management of Gastrointestinal Bleeding
NCT02442830 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 87
Last updated 2018-08-07
Summary
The objectives of this study are to test whether there are statistically significant differences between the standard of care workup workup of non-hematemesis gastrointestinal bleeding by endoscopy \[upper, lower and other tests\], compared with deployment of a video capsule as the first test followed by the most appropriate endoscopic procedure based on video capsule findings, if needed. The investigators propose to examine differences in time to diagnosis, reduction in numbers of procedures, and length of stay between a standard of care workup protocol and our proposed protocol of early capsule endoscopy deployment.
Conditions
- Melena
- Gastrointestinal Hemorrhage
Interventions
- DEVICE
-
Early Video Capsule Endoscopy
The intervention is the use of video capsule endoscopy as the first test in a patient presenting to the ED with active bleeding. The capsule allows for visualization of the entire GI tract. Once a capsule has been given to a study patient, a staff member will use the capsule's real-time viewer to see if there is any active bleeding in the stomach. If bleeding is seen the investigators will pursue an upper endoscopy. If no bleeding is seen a staff member will review the entire findings of the capsule and make a decision regarding which therapeutic measure to pursue.
Sponsors & Collaborators
-
Olympus Corporation
collaborator INDUSTRY -
University of Massachusetts, Worcester
lead OTHER
Principal Investigators
-
David Cave, MD, PhD · Professor of Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-04-19
- Primary Completion
- 2017-07-02
- Completion
- 2017-07-02
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
The Effectiveness of Video-capsule Endoscopy in Gastrointestinal Bleeding of Obscure Origin
NCT01424254 ·Status: COMPLETED ·Phase: PHASE3
-
Emergency Capsule Endoscopy in Severe GI-bleeding
NCT01584869 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
OTSC vs. Angiographic Embolization in Patients With Refractory Non-variceal Upper Gastrointestinal Bleeding
NCT04902248 ·Status: RECRUITING ·Phase: NA
-
Endoscopic Treatment of Non-variceal Upper GI-bleeding With High Risk of Recurrency - OTSC (Over-the-scope-clip) Versus Standard Therapy (STING2)
NCT03331224 ·Status: UNKNOWN ·Phase: NA
-
A Prospective Study Comparing Urgent Video Capsule Endoscopy With Urgent Double-balloon Enteroscopy
NCT01654770 ·Status: COMPLETED ·Phase: PHASE4
-
Detachable String Magnetically Controlled Capsule Endoscopy for Patients with AUGIB
NCT06725056 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Capsule Endoscopy Versus Conservative Therapy for Obscure Gastrointestinal Bleeding
NCT01837030 ·Status: WITHDRAWN ·Phase: NA
-
Capsule Endoscopy in Obscure GI Bleeding
NCT00203619 ·Status: COMPLETED ·Phase: NA
-
A Pilot and Feasibility Study to Evaluate Capsule Endoscopy
NCT00974701 ·Status: COMPLETED ·Phase: NA
-
Standard Endoscopic Hemostasis Versus OVESCO Severe Non-variceal UGI Hemorrhage
NCT03065465 ·Status: RECRUITING ·Phase: NA
-
Capsule Endoscopy vs. Push Enteroscopy in Occult Gastrointestinal Bleeding OGIB
NCT00224627 ·Status: COMPLETED ·Phase: PHASE3
-
A Study to Evaluate the Performance of a Wireless Optical Sensor Capsule in Detection of UGIB
NCT06715293 ·Status: RECRUITING ·Phase: NA
-
Urgent Panendoscopy in Patients Presenting With Hematochezia
NCT06985277 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Efficacy of Wireless Capsule Endoscopy and CT Enterography in Obscure Gastrointestinal Bleeding
NCT02219568 ·Status: COMPLETED ·Phase: NA
-
Evaluation the Performance of Given Diagnostic System in Detection of Bleeding Events in the Small Bowel
NCT01441219 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
Computed Tomography Enterography (CTE) Versus Capsule Endoscopy for Overt, Obscure Gastrointestinal (GI) Bleeding
NCT01114295 ·Status: WITHDRAWN ·Phase: NA
-
Urgent vs. Early Endoscopy in High Risk Patients With Upper Gastrointestinal Bleeding (UGIB)
NCT01675856 ·Status: COMPLETED ·Phase: NA
-
The Use of OTSC in LBGDU to Standard Endoscopic Hemostatic Methods
NCT06196710 ·Status: WITHDRAWN ·Phase: NA
-
Prognostic Factors in Malignant GI Bleeding Treated With Hemostatic Powder
NCT03066700 ·Status: COMPLETED
-
Remote Manipulation of a Capsule Endoscope
NCT01044797 ·Status: COMPLETED
-
Endoscopic Evaluation of Lower Gastrointestinal Bleeding (GIB) in Patients Presenting With Melena
NCT00164723 ·Status: COMPLETED ·Phase: NA
-
HemosprayTM for Gastrointestinal Bleeding From Cancer
NCT03855904 ·Status: UNKNOWN ·Phase: NA
-
Assessing Depth of Small Bowel Insertion at Push Enteroscopy by Using Capsule Endoscopy
NCT05731388 ·Status: UNKNOWN
-
Endoscopy for Bleeding Situations in Surgical Patients
NCT04523753 ·Status: COMPLETED
-
Efficacy of Small Bowel Preparation in Capsule Endoscopy
NCT01267981 ·Status: COMPLETED ·Phase: PHASE3