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Trial of Wireless Capsule Endoscopy in the Evaluation of Obscure Gastrointestinal Bleeding

University of Southern California logo

University of Southern California

Status and phase

Completed
Phase 4

Conditions

Obscure Gastrointestinal Bleeding (Occult or Overt)

Treatments

Other: Capsule endoscopy
Other: Dedicated small bowel contrast radiography

Study type

Interventional

Funder types

Other

Identifiers

NCT01006824
HS-02C010

Details and patient eligibility

About

This study compares wireless capsule endoscopy (patients swallow a pill-size camera that sends pictures of the intestine to a recorder worn on their belt) to an x-ray study (called dedicated small bowel contrast radiography) in patients who have bleeding from the gastrointestinal tract without a source of the bleeding identified on routine endoscopic examinations of the esophagus (food pipe), stomach, small intestine, and large intestine.

The investigators hope to determine if the capsule is a better test in terms of decreasing further bleeding, decreasing the need for further diagnostic testing, and decreasing the need for blood transfusions and time spent in the hospital.

Enrollment

136 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Iron deficiency anemia in men or post-menopausal women and positive fecal occult blood test in pre-menopausal women with nondiagnostic upper endoscopy, colonoscopy, and push enteroscopy.
  2. Persistent or recurrent melena or hematochezia with nondiagnostic upper endoscopy, colonoscopy, and push enteroscopy.

Exclusion criteria

  1. Known or suspected GI tract obstruction
  2. Severe motility disorders (e.g., achalasia, gastroparesis, pseudoobstruction)
  3. Pregnancy
  4. Cardiac pacemaker or implanted electro-medical devices

Trial design

Primary purpose

Diagnostic

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

136 participants in 2 patient groups

1
Experimental group
Description:
Capsule Endoscopy
Treatment:
Other: Capsule endoscopy
2
Active Comparator group
Description:
Dedicated small bowel contrast radiography
Treatment:
Other: Dedicated small bowel contrast radiography

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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