Gastrointestinal Bleeding
Conditions
Keywords
Upper GastroIntestinal bleeding, endoscopy, Hemospray
Brief summary
Hemospray™ is a new endoscopic hemostatic powder. Aims of this multicenter prospective study is to determine effectiveness of Hemospray™ on short and medium term in different clinical situations, predictive factors of rebleeding after Hemospray™ application, and feasibility of the application of hemostatic powder in routine clinical practice studying in a large sample of patients.
Interventions
All upper gastro-intestinal bleeding need endoscopic hemostasis. Endoscopic hemostasis conventional methods are injection of saline with epinephrine, placement of hemoclips and thermic or plasma coagulation. Hemospray™ will be sprayed onto bleeding lesions seen in endoscopy after failure of conventional methods or in salvage therapy at the discretion of endoscopists. Retrospective analysis of prospectively cellected data.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female aged 18 and over who need the use of Hemospray® under their care in an emergency. * Upper gastrointestinal hemorrhage. * Patients who received the information note of the study and agreeing to participate (non-oral opposition gathered in the patient's medical record) Non Inclusion Criteria: * Patient under guardianship, curatorship. * Pregnant woman.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of immediate cessation of bleeding observed in first-line per procedure or after failure of normal hemostasis techniques. | 30 days | Percentage of immediate cessation of bleeding observed in first-line per procedure or after failure of normal hemostasis techniques. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rebleeding rate at days 8 and 30, defined as the percentage of patients with >2g/dL hemoglobin AND/OR exteriorization of hematemesis AND/OR exteriorization of melena | 30 days | Rebleeding rate at days 8 and 30, defined as the percentage of patients with \>2g/dL hemoglobin AND/OR exteriorization of hematemesis AND/OR exteriorization of melena |
Countries
France, Monaco