Status:
COMPLETED
The Role of Push Enteroscopy in Patients With Passing Melena With Nondiagnostic EGD.
Lead Sponsor:
Mahidol University
Collaborating Sponsors:
Siriraj Hospital
Conditions:
Melena Due to Gastrointestinal Hemorrhage
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Melena is often caused by upper gastrointestinal (GI) bleeding; therefore, esophagogastroduodenoscopy (EGD) is the first preferred diagnostic tool. However, EGD fails to identify the bleeding source i...
Detailed Description
Melena is generally attributed to bleeding from the upper gastrointestinal (GI) tract, with esophagogastroduodenoscopy (EGD) serving as the primary diagnostic tool. However, EGD fails to detect bleedi...
Eligibility Criteria
Inclusion
- Patients aged 18 years or older.
- Patients admitted to the hospital for acute gastrointestinal bleeding, presenting with symptoms of melena.
- Patients who have undergone esophagogastroduodenoscopy (EGD) without identification of the source of gastrointestinal bleeding.
- Patients who have signed informed consent to participate in the study.
Exclusion
- Patients with symptoms of hematemesis, coffee ground emesis, or detection of blood via a gastric lavage tube.
- Patients with unstable vital signs before undergoing push enteroscopy.
- Patients with conditions that contraindicate endoscopy, such as severe asthma or serious cardiac conditions.
- Patients with a history of bleeding disorders or uncorrectable coagulation abnormalities.
- Patients who have contraindications to bowel preparation with polyethylene glycol.
- Pregnant patients.
Key Trial Info
Start Date :
July 8 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 30 2022
Estimated Enrollment :
77 Patients enrolled
Trial Details
Trial ID
NCT06574542
Start Date
July 8 2019
End Date
December 30 2022
Last Update
August 29 2024
Active Locations (1)
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1
Gastroenterology division, Faculty of Medicine, Siriraj Hospital, Mahidol University
Bangkok, Thailand, 10700