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Efficacy of Wireless Capsule Endoscopy and CT Enterography in Obscure Gastrointestinal Bleeding

Not Applicable
Completed
Conditions
Gastrointestinal Bleeding
Interventions
Procedure: CT enterography
Device: video capsule endoscopy
Registration Number
NCT02219568
Lead Sponsor
Mahidol University
Brief Summary

The purpose of this study is to compare the efficacy between video capsule endoscopy and CT enterography in diagnosis of obscure gastrointestinal bleeding.

Detailed Description

All adult patients with obscure gastrointestinal bleeding will undergo both video capsule endoscopy and CT enterography. The interval between two tests will be less than 1 month. The capsule reading gastroenterologist and the CT reading radiologist are blinded to each others' results.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
52
Inclusion Criteria
  • patients who present with passing melena or hematochezia or have iron deficiency anemia
  • no lesion found on both esophagogastroduodenoscopy and colonoscopy
  • age at least 18 years
Exclusion Criteria
  • allergy to iodinated intravenous contrast
  • chronic kidney disease stage at least 3 patients who do not on regular dialysis
  • suspected small bowel obstruction

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
obscure gastrointestinal bleedingvideo capsule endoscopyThose patients who developed obscure gastrointestinal bleeding either overt or occult bleeding who will then undergo video capsule endoscopy and CT enterography.
obscure gastrointestinal bleedingCT enterographyThose patients who developed obscure gastrointestinal bleeding either overt or occult bleeding who will then undergo video capsule endoscopy and CT enterography.
Primary Outcome Measures
NameTimeMethod
number of significant gastrointestinal lesions detectedup to 1 month

Significant gastrointestinal lesions are ulcers, mucosal inflammation, angiodysplasia, and mass.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Gastroenterology division, Faculty of Medicine, Siriraj Hospital, Mahidol University

🇹🇭

Bangkok, Thailand

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