Unique ID issued by UMIN | UMIN000028007 |
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Receipt number | R000031897 |
Scientific Title | Validity of conservative treatment without urgent endoscopy for colonic diverticular hemorrhage |
Date of disclosure of the study information | 2017/06/30 |
Last modified on | 2017/06/29 18:19:25 |
Validity of conservative treatment without urgent endoscopy for colonic diverticular hemorrhage
Validity of conservative treatment for colonic diverticular hemorrhage
Validity of conservative treatment without urgent endoscopy for colonic diverticular hemorrhage
Validity of conservative treatment for colonic diverticular hemorrhage
Japan |
colonic diverticular hemorrhage
Gastroenterology |
Others
NO
To clarify the validity of conservative treatment for non-severe colonic diverticular hemorrhage
Safety,Efficacy
Exploratory
Others
Not applicable
Rate of spontaneous hemostasis by conservative treatment for colonic diverticular hemorrhage
1. Clinical backgrounds of patients requiring urgent endoscopy/IVR
2. Rate of rebleeding after conservative treatment
3. Factors related with rebleeding after conservative treatment
4. Comparison of hospitalization costs between conservative treatment and urgent endoscopy.
Interventional
Parallel
Non-randomized
Open -no one is blinded
No treatment
2
Treatment
Maneuver |
In case of controlled hemorrhagic shock, conservative treatment with fasting and fluid administration would be performed, in spite of existence of extravasation with enhanced CT.
For patients with shock and extravasation on enhanced CT, urgent endoscopy would be performed. However, in case of uncontrolled hemorrhagic shock after initial treatment with fluid resuscitation, interventional radiology would be considered for hemostasis.
15 | years-old | <= |
100 | years-old | >= |
Male and Female
1)Emergency outpatient who required hospital admission for the treatment of frequent hematochezia.
2)Patients with a diagnoses of colonic diverticulum by lower gastrointestinal endoscopy or abdominal CT.
3)Other possible sources of gastrointestinal bleeding were ruled out by upper and lower gastrointestinal endoscopy and abdominal CT.
4)Patients who provided written informed consents for this study by themselves.
1)Other possible sources of gastrointestinal bleeding was found by endoscopic examination.
2)Colonoscopy was not performed within 2 weeks after admission.
3)Patient who was judged as inappropriate for this study.
200
1st name | |
Middle name | |
Last name | Keita Sasajima |
Saitama Red Cross Hospital
Digestive internal medicine
1-5 Shintoshin, Chuo-ku, Saitama-city, Saitama pref, 330-8853 Japan
048-852-1111
digestive@saitama-med.jrc.or.jp
1st name | |
Middle name | |
Last name | Hirosato Doi |
Saitama Red Cross Hospital
Digestive internal medicine
1-5 Shintoshin, Chuo-ku, Saitama-city, Saitama pref, 330-8853 Japan
048-852-1111
digestive@saitama-med.jrc.or.jp
Saitama Red Cross Hospital
Self funding
Self funding
NO
2017 | Year | 06 | Month | 30 | Day |
Unpublished
Open public recruiting
2017 | Year | 01 | Month | 01 | Day |
2017 | Year | 01 | Month | 01 | Day |
2017 | Year | 06 | Month | 29 | Day |
2017 | Year | 06 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031897
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