Unique ID issued by UMIN | UMIN000026865 |
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Receipt number | R000029250 |
Scientific Title | A randomized controlled trial which aim at establishment of standard diagnosis and treatment for colonic diverticular bleeding |
Date of disclosure of the study information | 2017/04/10 |
Last modified on | 2018/02/22 12:14:40 |
A randomized controlled trial which aim at establishment of standard diagnosis and treatment for colonic diverticular bleeding
A randomized controlled trial for standard diagnosis and treatment for colonic diverticular bleeding (eCT-DivBleed)
A randomized controlled trial which aim at establishment of standard diagnosis and treatment for colonic diverticular bleeding
A randomized controlled trial for standard diagnosis and treatment for colonic diverticular bleeding (eCT-DivBleed)
Japan |
Colonic diverticular bleeding
Gastroenterology |
Others
NO
To compare the efficacy and safety of urgent colonoscopy performed with or without a prior contrast-enhanced CT examination in patients with colonic diverticular bleeding whose chief complaint is hematochezia without accompanying abdominal pain.
Safety,Efficacy
Identification rate of colonic diverticular bleeding points.
Success rate of endoscopic hemostasis, time from last hematochezia to hemostasis, hemostatic rate classified by time from last hematochezia to colonoscopy, completion rate of colonoscopy, observed rate of extravasation of contrast medium on CT, hospitalization period, re-bleeding rate, additional colonoscopy rate and consequential hemostasis rate, rate of interventional radiology treatment required and consequential hemostasis rate, additional surgery rate and consequential hemostasis rate, incidence rate of adverse event, final diagnosis for cause of hematochezia.
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
NO
YES
Institution is considered as adjustment factor in dynamic allocation.
NO
Central registration
2
Treatment
Maneuver | Other |
Urgent colonoscopy with a prior contrast-enhanced CT examination
Urgent colonoscopy alone
20 | years-old | <= |
85 | years-old | > |
Male and Female
1) Patients who visited the study institution with hematochezia without accompanying abdominal pain within 24 hours after the last hematochezia, and whose colon diverticula were confirmed by non-contrast-enhanced CT examinations. (*Confirmation by a non-contrast-enhanced CT examination is not required, if existence of diverticula can be confirmed by a past image examination.)
2) 20-84 years old patients at time of acquisition of informed consent.
3) Patients who provided written consents for this study by themselves.
1) Patients with hemorrhagic shock accompanying severe disturbance of consciousness at the time of visit.
2) Patients who do not improve from hemorrhagic shock even after infusion or transfusion.
3) Patients with confirmed melena.
4) Patients who have renal insufficiency and are determined to be inappropriate for use of contrast medium.
5) Patients taking antidiabetes drug of biguanide type.
6) Patients who are diagnosed as inflammatory bowel disease.
7) Patients with suspected hemorrhoidal bleeding.
8) Patients with performance status of grade2 or more.
9) Patients with contrast medium allergies.
10) Patients who are pregnant, or who are possibly pregnant.
11) Patients who have participated in this study in the past.
12) Patients who the principal investigator or other investigators decided not suitable for participation in this study.
240
1st name | |
Middle name | |
Last name | Toshio Uraoka |
National Hospital Organization Tokyo Medical Center
Department of Gastroenterology
2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8901, JAPAN
03-3411-0111
turaoka@ntmc-hosp.jp
1st name | |
Middle name | |
Last name | Toshio Uraoka |
National Hospital Organization Tokyo Medical Center
Department of Gastroenterolog
2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8901, JAPAN
03-3411-0111
turaoka@ntmc-hosp.jp
National Hospital Organization Tokyo Medical Center
National Hospital Organization
Other
Japan
NO
2017 | Year | 04 | Month | 10 | Day |
Unpublished
Open public recruiting
2017 | Year | 04 | Month | 01 | Day |
2017 | Year | 04 | Month | 10 | Day |
2019 | Year | 08 | Month | 10 | Day |
2017 | Year | 04 | Month | 05 | Day |
2018 | Year | 02 | Month | 22 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029250
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