Obscure Gastrointestinal Bleeding
Conditions
Brief summary
The purpose of this study is to conduct a cost-effectiveness analysis of wireless capsule endoscopy in the investigation of patients with overt obscure gastrointestinal bleeding. To inform this analysis, a randomized controlled trial of capsule endoscopy compared with standard care will be conducted
Detailed description
The purpose of this study is to conduct a cost-effectiveness analysis of wireless capsule endoscopy in the investigation of patients with overt obscure gastrointestinal bleeding. To inform this analysis, a randomized controlled trial of capsule endoscopy compared with standard care will be conducted. Patients randomized 1:1.
Interventions
wire less capsule endoscopy
standard diagnostic evaluation as decided by treating physician
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18 or older 2. Obscure overt GI bleeding 3. No cause for bleeding found on Gastroscopy and colonoscopy within 1 week of bleeding
Exclusion criteria
1. Known or suspected swallowing disorders 2. Known or suspected small bowel obstruction 3. Multiple comorbidities precluding surgery 4. Patients with implantable electromagnetic devices 5. Pregnant women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| sf36 | 48 weeks |
| giqli | 48 weeks |
| eq50 | 48 weeks |
| diagnostic yield | 48 weeks |
Secondary
| Measure | Time frame |
|---|---|
| transfusions | 48 weeks |
Countries
Canada