GI-bleeding
Conditions
Keywords
GI-bleeding, capsule endoscopy
Brief summary
Primary objective: Evaluation of capsule endoscopy in the emergency setting of severe GI-Bleeding.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
patients with signs of severe GI-bleeding (with melena or dark bloody stool) and hemodynamic instability (defined as (pre)collapse or MAP \< 80 mmHg or HR \> 110) and/or drop of hemoglobin \> 2g/dl/d and/or need of transfusion of minimum of 2 packed red cells
Exclusion criteria
missing consent form, pregnancy, origin of bleeding found in upper GI-endoscopy (e.g. blood in the stomach, ulcer, varices with signs of bleeding, mallory-weiss-tear, Angiodysplasia (with signs of bleeding), refluxesophagitis LA C or D) fresh bloody stool, known stenosis of the bowel, known site of bleeding, known inflammatory bowel disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the influence of capsule endoscopy on guidance of further diagnostic or therapeutic procedures. | after complete recruitment |
Secondary
| Measure | Time frame |
|---|---|
| frequency of mid-GI-bleeding in all patients | — |
| diagnostic yield | after complete recruitment |
Countries
Germany