Detachable String Magnetically Controlled Capsule Endoscopy for Patients with AUGIB

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorChanghai Hospital

About this trial

Use CE for pre-examination of patients with AUGIB symptoms in emergency centers may reduce the need for emergency electronic gastroscopy and have certain advantages in clinical work. Patients with low-risk lesions can be discharged without the need for EGD and hospitalization, greatly improving the utilization of medical resources.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

No gender limit, age ≥ 18 years

Presenting to the emergency department with melena or hematemesis

Hemodynamically stable at presentation

No endoscopic examination has been performed due to this bleeding

Disqualifiers

Patients with acute active massive bleeding or hemodynamic instability (blood pressure < 90 mmHg and heart rate > 120 beats per minute)

Patients with Hematochezia

Hemodynamics remained unstable after fluid resuscitation

Known or suspected intestinal obstruction, stenosis, or fistula

Trial design

Design model

Single group

Treatments tested in this trial

  • DS-MCE and EGD examinations

    Other intervention

    sequentially performing DS-MCE and EGD examinations on AUGIB patients with stable hemodynamics

Treatment groups

120 Participants
are divided into 1 treatment group
Group A: group of participantsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

The sensitivity of DS-MCE in detection active bleeding and bleeding lesions, using the detection of EGD as the gold standard,

Active bleeding is defined as the continuous flow of visible blood from damaged blood vessels under the microscope. The detection results of bleeding lesions are divided into three categories: P0 refers to lesions without possible bleeding, such as visible submucosal veins, diverticula without bleeding traces, nodules without mucosal damage traces, etc; P1 refers to low-risk bleeding lesions, such as isolated erythema, isolated small erosions, or mucosal damage; P2 refers to high-risk bleeding lesions, such as peptic ulcers (active bleeding or visible blood vessels) with persistent or rebleeding risks, erosions with a diameter of ≥ 2mm, tumors, varicose veins, etc.

Time frame
From enrollment to the end of end of follow-up at 4 weeks

Secondary outcomes

1

The specificity of ds MCE in detecting active bleeding and bleeding lesions using EGD as the gold standard

Time frame
From enrollment to the end of end of follow-up at 4 weeks
2

The number of observed signs of bleeding

Time frame
From enrollment to the end of end of follow-up at 4 weeks
3

Detection rate of bleeding lesions in enrolled subjects

Time frame
From enrollment to the end of end of follow-up at 4 weeks
4

Detection rate of lesions in enrolled subjects

Time frame
From enrollment to the end of end of follow-up at 4 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

This trial is not recruiting at the moment. You can still explore other options: