Unique ID issued by UMIN | UMIN000010959 |
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Receipt number | R000012825 |
Scientific Title | Obtaining of operative view or visibility in emergency hemostasis for hematoemesis patients in upper body or fornix lesion of stomach |
Date of disclosure of the study information | 2013/06/14 |
Last modified on | 2016/08/15 17:32:06 |
Obtaining of operative view or visibility in emergency hemostasis for hematoemesis patients in upper body or fornix lesion of stomach
Emergency hemostasis using U-shaped inverted overtube
Obtaining of operative view or visibility in emergency hemostasis for hematoemesis patients in upper body or fornix lesion of stomach
Emergency hemostasis using U-shaped inverted overtube
Japan |
Bleeding of upper GI tract
Medicine in general | Gastroenterology | Gastrointestinal surgery |
Emergency medicine |
Others
NO
Endoscopists are under pressure to perform these emergency endoscopic treatments, especially in patients with cardiovascular or cerebrovascular diseases who are being treated with antiplatelet and anticoagulant agents or in seriously ill patients who require rapid and reliable hemostasis. In almost all cases, once the bleeding site is visually identified by endoscopy, hemostasis can be achieved using current endoscopic techniques and hemostatic forceps however, if it cannot be visually identified, a surgical procedure is required The presence of blood clots and food residue in the gastric fornix or upper gastric body makes identifying a bleeding exposed vessel impossible. This study aims a method for shortening the hemostasis time and reducing stress for both patients and endoscopists.
Safety,Efficacy
Confirmatory
Pragmatic
Detection rate of exposed vessels and bleeding points using U shaped inverted overtube which in left lateral position, it is difficult to stop the bleeding due to the presence of blood clots and food residue especially in upper body and fornix of the stomach
Procedure time of hemostasis, success rate of hemostasis, rebleeding and visual analogue score of maneuverability of U shaped overtube related to exposed vessels and bleeding points using U shaped inverted overtube which in left lateral position, it is difficult to stop the bleeding due to the presence of blood clots and food residue especially in upper body and fornix of the stomach
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Device,equipment |
U shaped inverted overtube which in left lateral position, it is difficult to stop the bleeding due to the presence of blood clots and food residue especially in upper body and fornix of the stomach
20 | years-old | <= |
85 | years-old | >= |
Male and Female
Patients who are needed endoscopic hemostasis to stop the bleeding. Among these patients, inclusion criteria is as follows: As endoscopist have performed esophagogastroduodenoscopy (EGD) to those patients lying in the left lateral decubitus position, it is difficult to stop the bleeding due to the presence of blood clots and food residue especially in upper body and fornix of the stomach, and observation has finished from duodenum to lower body of the stomach and there is no exposed vessels.
Except for gastric lesion such as esophageal varix. Gastric varix is included this criteria because it is fornix lesion of the stomach. The lesions of lower body, angle, antrum of the stomach and duodenum are exclusion criteria.
150
1st name | |
Middle name | |
Last name | Hirohito Mori |
Kagawa University
Department of Gastroenterology and Neurology
1750-1, Miki, Kida, Kagawa, Japan
1st name | |
Middle name | |
Last name |
Kagawa University
Department of Gastroenterology and Neurology
hiro4884@med.kagawa-u.ac.jp
Hirohito Mori
kagawa University
Other
NO
2013 | Year | 06 | Month | 14 | Day |
Unpublished
Terminated
2013 | Year | 06 | Month | 14 | Day |
2013 | Year | 06 | Month | 15 | Day |
2016 | Year | 03 | Month | 31 | Day |
2013 | Year | 06 | Month | 13 | Day |
2016 | Year | 08 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012825
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