Acute Upper Gastrointestinal Hemorrhage
Conditions
Brief summary
Prospective-randomized multi-center trial. Patients with high risk of recurrent GI-bleeding (non-variceal) are identified and randomized into either endoscopic treatment with the OTSC \[Over The Scope Clip\] or endoscopic standard therapy. Hypothesis: Endoscopic therapy with OTSC is superior to standard therapy regarding technical success and rebleeding.
Detailed description
Prospective-randomized multi-center trial. Patients with high risk of recurrent GI-bleeding (non-variceal) are identified (Rockall Score \> 6) and randomized into either endoscopic treatment with the OTSC \[Over The Scope Clip\] or endoscopic standard therapy. 100 Patients are planned. Hypothesis: Endoscopic therapy with OTSC is superior to standard therapy regarding technical success and rebleeding.
Interventions
OTSC placement
endoscopic standard therapy (two methods, e.g. clip and injection)
Sponsors
Study design
Eligibility
Inclusion criteria
* upper GI-bleeding (non-variceal) with high risk of recurrency * 18 years and older
Exclusion criteria
* variceal-bleeding * under 18 years * pregnancy or nursing period * malignancy * need for surgical treatment (for example perforation with peritonitis)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Persistent bleeding or Rebleeding with 7 days | 7 days |
Secondary
| Measure | Time frame |
|---|---|
| duration of hospital stay | 30 days |
| duration of intensive care unit stay | 30 days |
| 30 d Mortality | 30 days |
| blood units transfused | 30 days |
| Necessity of surgical or angiographic therapy | 7 days |
| Complications during or after OTSC (Over The Scope Clip) placement | 7 days |
| Amount of endoscopic reinterventions | 7 days |
Countries
Germany