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Validity of conservative treatment without urgent endoscopy for colonic diverticular hemorrhage

Validity of conservative treatment without urgent endoscopy for colonic diverticular hemorrhage - Validity of conservative treatment for colonic diverticular hemorrhage

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000028007
Enrollment
200
Registered
2017-06-30
Start date
2017-01-01
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

colonic diverticular hemorrhage

Interventions

In case of controlled hemorrhagic shock, conservative treatment with fasting and fluid administration would be performed, in spite of existence of extravasation with enhanced CT. For patients with sho

Sponsors

Saitama Red Cross Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1)Emergency outpatient who required hospital admission for the treatment of frequent hematochezia. 2)Patients with a diagnoses of colonic diverticulum by lower gastrointestinal endoscopy or abdominal CT. 3)Other possible sources of gastrointestinal bleeding were ruled out by upper and lower gastrointestinal endoscopy and abdominal CT. 4)Patients who provided written informed consents for this study by themselves.

Exclusion criteria

Exclusion criteria: 1)Other possible sources of gastrointestinal bleeding was found by endoscopic examination. 2)Colonoscopy was not performed within 2 weeks after admission. 3)Patient who was judged as inappropriate for this study.

Design outcomes

Primary

MeasureTime frame
Rate of spontaneous hemostasis by conservative treatment for colonic diverticular hemorrhage

Secondary

MeasureTime frame
1. Clinical backgrounds of patients requiring urgent endoscopy/IVR 2. Rate of rebleeding after conservative treatment 3. Factors related with rebleeding after conservative treatment 4. Comparison of hospitalization costs between conservative treatment and urgent endoscopy.

Countries

Japan

Contacts

Public ContactHirosato Doi

Saitama Red Cross Hospital Digestive internal medicine

digestive@saitama-med.jrc.or.jp048-852-1111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026