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Video Capsule Endoscopy for Detection of Gastrointestinal Bleeding in the Small Bowel

GastroIntestinal Bleeding Clinical Trial

Official title:
Video Capsule Endoscopy for Detection of Gastrointestinal Bleeding in the Jejunum

Clinical Trial Summary

Small bowel capsule endoscopy is the main diagnostic standard for small bowel bleeding. This study investigates the detection rate of small bowel bleeding in capsule endoscopy and further endoscopic treatment in a prospective and retrospective cohort.

Clinical Trial Description

Small bowel capsule endoscopy is considered the diagnostic gold standard in the diagnosis of diseases of the small bowel. Most indications for capsule endoscopy are overt small bowel bleedings - defined as gastrointestinal bleeding after negative gastroscopy and colonoscopy - or occult iron deficiency anemia. Timing of small bowel capsule endoscopy seems to be decisive for the diagnosis of small bowel bleeding: corresponding to the actual guidelines the detection of small bowel bleeding can be up to > 70% if the intervention is performed within 2 days. Treatment of small bowel bleedings can be performed with small bowel enteroscopy such as balloon or motorized spiral enteroscopy. Against this background this study investigates the rate of small bowel bleeding diagnosed in capsule endoscopy. The aim of the study is to report tumorous, vascular and inflammatory findings as well as complications and cecal accessibility. One focus of the study is the time between small bowel bleeding and small bowel capsule endoscopy and small bowel enteroscopy, respectively. Endoscopic therapies and further bleeding episodes are recorded. In order to determine the improved clinical outcome after the introduction of the shortened timing for recommendation published in 2022, a retrospective cohort should be included in addition to a prospective cohort. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05949268
Study type Observational
Source University Hospital Freiburg
Contact Michael Schultheiss, MD
Phone +49761/270-34010
Email michael.schultheiss@uniklinik-freiburg.de
Status Recruiting
Phase
Start date September 1, 2023
Completion date July 15, 2028
View Details
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