Urgent Panendoscopy in Patients Presenting With Hematochezia

NAEnrolling by invitationINTERVENTIONAL
Enrollment

188

Participants

Timeline

Start Date

April 9, 2024

Primary Completion Date

April 9, 2024

Study Completion Date

January 31, 2028

Conditions
Lower Gastrointestinal BleedingSmall Bowel Bleeding
Interventions
DIAGNOSTIC_TEST

Urgent endoscopy strategy

Patients will undergo colonoscopy within 24 hours of diagnosed lower gastrointestinal bleeding. If no bleeding source is identified on colonoscopy or presumed diverticular bleeding cases, esophagogastroduodenoscopy (EGD) followed by same-session video capsule endoscopy (VCE) will be performed immediately

DIAGNOSTIC_TEST

Standard colonoscopy with standard VCE group

Patients will undergo colonoscopy within 24-48 hours after diagnosed lower gastrointestinal bleeding. If no bleeding source is identified on colonoscopy or presumed diverticular bleeding cases, esophagogastroduodenoscopy (EGD) will be performed immediately. If EGD shows no bleeding source, video capsule endoscopy (VCE) will be performed within 24 hours of the preceding endoscopies

Trial Locations (1)

10700

Gastroenterology division, Faculty of Medicine, Siriraj Hospital, Mahidol University Bangkok, , Thailand, Bangkok

All Listed Sponsors
lead

Mahidol University

OTHER