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
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
Treatments tested in this trial
- DS-MCE and EGD examinations