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DIAGNOSTIC CONTRIBUTION OF EARLY ABDOMINAL ULTRASOUND IN THE SITUATION OF ACUTE ABDOMEN OF PREMATURE

DIAGNOSTIC CONTRIBUTION OF EARLY ABDOMINAL ULTRASOUND IN THE SITUATION OF ACUTE ABDOMEN OF PREMATURE

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07275268
Acronym
EchoPrémA
Enrollment
100
Registered
2025-12-10
Start date
2025-12-31
Completion date
2028-06-30
Last updated
2025-12-10

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

Conditions

Acute Abdomen in Children

Brief summary

This study will assess the diagnostic contribution of early abdominal ultrasound for acute abdomen in premature newborns. Early ultrasound assessment would provide diagnostic assistance, in conjunction with clinical examination and biological testing, in the three main clinical situations encountered with an acute abdomen in premature infants: enterocolitis (digestive translocation of a bacterium secondary to inflammation, local fragility of the digestive tract, associated ischemic phenomena), reflex ileus (decrease in intestinal peristalsis secondary to peritoneal reactivity following inflammatory phenomena) and digestive immaturity (expressed by bloating, regurgitation, absence of spontaneous transit, related to the degree of prematurity).

Interventions

PROCEDUREAbdominal Ultrasound

Abdominal Ultrasound

Sponsors

Centre Hospitalier Universitaire de Besancon
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
No minimum to 36 Weeks
Healthy volunteers
No

Inclusion criteria

Premature under 37 weeks of amenorrhea with an adverse event of special interest such as : * altered abdomen with bloating or presence of previsouly unknow marked collateral circulation, * absence of spontaneous transit (\> 48 hours), * episode of rectal bleeding, * repeated regurgitation/vomiting (during more than 50% of feedings), * prolonged fasting (\>12 hours), OR * increase in cardiorespiratory events on continuous monitoring associated with one of the elements listed above.

Exclusion criteria

* organic malformation detected during prenatal monitoring or discovered in the immediate postnatal period, * chromosomal abnormality detected during prenatal monitoring or discovered in the immediate postnatal period,- spontaneous perforation occurring during the first week of life.

Design outcomes

Primary

MeasureTime frameDescription
Presence or absence of echographic signsDay 5Presence of positive echographic signs such as: aeroportia, pneumatosis parietalis, pneumoperitoneum, bowel wall thickening, fluid effusion, distension of bowel loops, during the early echography for premature newborns with digestive symptomatology.

Contacts

Primary ContactMorgane VIDONI AGUILAR, Int
maguilarrubio@chu-besancon.fr0033 3 81 21 91 61

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026