Is Cap Assisted Endoscopy Useful in Acute Upper Gastrointestinal Bleeding ?
Recruiting now · Not applicable
Conditions studied: Cap-assisted Endoscopy, Upper Gastro Intestinal Bleeding, Endoscopy
In brief
High digestive bleeding (HDH) is a medical emergency associated with high morbidity and mortality rates and significant healthcare costs. Upper endoscopy can locate the bleeding and treat it. However, the source of bleeding can be difficult to identify, even for the most experienced endoscopists, due to the location of the bleeding (posterior wall of the bulb, gastric or duodenal folds, papillary region, esophagogastric junction), instability of the tube due to gastric and pyloric contractions and respiratory movements, leading to longer procedure times, hemostasis failure, or even the absence of bleeding visualization. The use of a cap attached to the endoscope facilitates exploration of blind areas of the colonic mucosa located behind folds, thus reducing the rate of missed polyps and cecal intubation time. To date, there is no study evaluating the systematic use of a cap in patients with suspected high digestive bleeding. A series of four cases demonstrated its benefit, allowing for better exposure of the bleeding lesion, better unfolding of intestinal folds, and thus a more effective and quicker hemostatic treatment.
Key facts
- Study ID
- NCT07268365
- Run by
- Centre Hospitalier Universitaire, Amiens
- People needed
- 72
- Starts
- 2025-10-16
- Expected to finish
- 2026-11-01
- Last updated by the study team
- 2025-12-05
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Patient > 18 years old
- Upper GI bleeding suspected in presence of melena or hematemesis
- Glasgow Blatchford score > 8
- Upper gastroscopy at Amiens University Hospital
- Follow-up at Amiens university hospital
- Presence of gastric or duodenal ulcer requiring endoscopic hemostasis (FORREST Ia, Ib, IIa, IIb)
- No opposition to the study
- No guardianship or curators
You may not qualify if…
- Patient with clinical suspicion of portal hypertension
- Known liver failure
- Patient with digestive hemorrhage related to a lesion located beyond the 2nd duodenum
- Patient with digestive hemorrhage related to a varicose lesion (esophageal or gastric varices)
- Patient with bleeding associated with esophagitis
- Patient with bleeding associated with angiodysplasias
Where it is running
- Centre Hospitalier Universitaire d'Amiens — Amiens, Picardie, France (enrolling)
Full record on ClinicalTrials.gov
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