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The Food Obstruction in Oesophagus and Drugs Study: A Double Blinded Randomised Control Trial of Glucagon and Glyceryl Trinitrate Versus Placebo In Soft Food Bolus Impactions

Phase 3
Conditions
Soft food bolus impaction
Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
Registration Number
ACTRN12616001055493
Lead Sponsor
Fiona Stanley Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Stopped early
Sex
All
Target Recruitment
44
Inclusion Criteria

a.Patients with first presentation of soft food bolus impaction
b.Patients above or equal to 18 years old
c.Patients capable of furnishing informed consent

Exclusion Criteria

a.Known oesophageal malignancy or structural abnormalities
b.Previous presentation with soft food bolus oesophageal impaction
c.Known allergy or intolerance to glucagon or GTN
d.Extrinsic or intrinsic airway compromise
e.Oesophageal impaction with inedible or hard foods (e.g. bones, pills, nails)
f.Preload dependent cardiovascular physiology (e.g. severe aortic stenosis, hypotension)
g.Known insulinoma, pheochromocytoma or glucagonoma

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Clinical resolution of impaction by 30 minutes post administration of drugs as defined by:<br>a.Ability to tolerate food and fluids without regurgitation<br>b.No regurgitation of secretions<br>c.Clinical gestalt of senior ED doctor<br>[30 minutes from administration of drug]
Secondary Outcome Measures
NameTimeMethod
Endoscopy rate which will be calculated by checking each participant's medical record for endoscopy records [48 hours post first presentation to the ED];Evidence of oesophageal pathology whether by direct visualisation on endoscopy or subsequent histopathological examination of biopsy specimens [3 months post first presentation to the ED]
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