Diagnostic Laparoscopy for Unexplained Abdominal Pain

Status Not yet recruiting

Clinical Trial Summary

To evalute the efficiency and safety of diagnostic laparoscopy for patients who have unexplained abdominal pain after completing all needed imaging and laboratories in general surgery depatment Assuit university hospital

Clinical Trial Description

Abdominal pain may be a simple thing or it may be a dangerous and life threatening one.It is very difficult to come to a correct diagnosis(1).Diagnostic laparoscopy gives many advantages in the management of many intra-abdominal conditions where the correct diagnosis could not establish clinically or even with the help of imaging studies(2).Diagnostic laparoscopy can be done under direct vision using simple instruments of laparoscopy. With advances in optics, laparoscopy allows visualization of entire peritoneal cavity and further makes possible histological diagnosis of target biopsy under vision(3).In case of diagnostic uncertainty, laparoscopy may help to avoid unnecessary laparotomy, provides accurate diagnosis, helps to plan surgical treatment, improves the outcome in the majority of patients with abdominal pain and allows surgeons to diagnose and treat many abdominal conditions that cannot be properly managed otherwise(4).Many factors like high diagnostic yield, its applicability and therapeutic management in both elective and emergency setups, reduced hospital stay, low morbidity, and expenditure have made this treatment modality most popular(5). On the otherhand there are Complications related to laparoscopic surgery up to one-half of complications occur at the time of abdominal access for camera or port placement , Others arise from abdominal insufflation, tissue dissection, and hemostasis .Conversion to an open procedure may be needed to manage complications (6).Recent treatises deficient in evalution of the role of lap in cases with vague abdominal pain for this the interest of our study is to evalute the efficiency and safety of diagnostic laparoscopy for patients who have unexplained abdominal pain after completing all needed imaging and laboratories. ;

Study Design

Related Conditions & MeSH terms

Abdominal Pain

Clinical Trial Details

NCT number	NCT06193798
Study type	Observational
Source	Assiut University
Contact	Nouran Mohsen, Doctor
Phone	01025729935
Email	nouranmohsen112@gmail.com
Status	Not yet recruiting
Phase
Start date	March 20, 2024
Completion date	November 11, 2026

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT04682860` - Management of Abdominal Pain in Acute Gastroenteritis Patients With Hyoscine Butylbromide	Phase 4
Not yet recruiting	`NCT05649891` - Checklists Resuscitation Emergency Department	N/A
Completed	`NCT03318614` - Bifidobacterium Infantis M-63 Improves Mental Health in Irritable Bowel Syndrome Developed After a Major Flood Disaster	Phase 2/Phase 3
Completed	`NCT02923245` - POCUS Assessment of Bladder Fullness for Girls Awaiting Radiology-Performed Transabdominal Pelvic Ultrasound	N/A
Completed	`NCT02547857` - Transvaginal Pelvic Ultrasound in the ED	N/A
Completed	`NCT02676232` - DARWeb: an Online Psychosocial Intervention for Children With Recurrent Abdominal Pain and Their Families.	N/A
Completed	`NCT02197780` - Head-to-head Comparison of Two Fecal Biomarkers to Screen Children for IBD	N/A
Recruiting	`NCT00209807` - Effect of Escitalopram vs. Reboxetine on Gastro-intestinal Sensitivity of Patients With Major Depressive Disorder	Phase 4
Terminated	`NCT01410071` - Evaluation of Gastrointestinal Symptoms and Quality of Life in Patients With Sphincter of Oddi Dysfunction	N/A
Terminated	`NCT01736280` - Evaluating and Treating Potential Research Participants With Digestive Disorders	N/A
Enrolling by invitation	`NCT04104867` - Effectiveness of Prokinetic Agents in Improving Abdominal Discomfort at Colonoscopy	N/A
Completed	`NCT03574727` - Abdominal Cutaneous Nerve Entrapment Syndrome
Completed	`NCT04614649` - Right Iliac Fossa Treatment-Turkey Audit
Completed	`NCT05438654` - Improvement of Diagnostic Approach Using PoCUS for Right Upper Quadrant Abdominal Pain	N/A
Completed	`NCT06423586` - Effect of Lecithin-based Curcuma and Boswellia on Post-acute COVID-19 IBS	N/A
Completed	`NCT03558009` - Epidemiological Analysis for Hereditary Angioedema Disease
Terminated	`NCT03148288` - Vitamin D Supplementation in IBS	N/A
Completed	`NCT03708874` - Pain Management of Emergency Laparoscopic Cholecystectomy in Patients With Acute Cholecystitis
Withdrawn	`NCT04408872` - EUS vs EGD in Emergency Room Patients Referred for EGD	N/A
Recruiting	`NCT02594774` - Efficacy of Osteopathic Treatment in Function Abdominal Pain in Children and Adolescents	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.