- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05763745
Bedside Ultrasonic Assessment for Gastric Content in Patients With Upper GI Bleeding Undergoing Endoscopy: a Pilot Study
April 18, 2024 updated by: Loma Linda University
Bedside Ultrasonic Assessment for Gastric Content in Patients With Upper GI Bleeding
Emerging studies have evaluated POCUS (Point of Care Ultrasound) for assessing of gastric content prior to anesthesia to reduce the risk of aspiration and demonstrated that POCUS can accurately identify presence of gastric food or fluid.
Despite accumulating studies evaluating POCUS as a diagnostic modality to evaluate for gastric food content prior to anesthesia, there is no study to date that has evaluated the role of POCUS prior to endoscopy among patients with upper GI bleeding.
Therefore, this study is to evaluate the diagnostic accuracy of POCUS for retained gastric content prior to endoscopy among patient hospitalized/admitted with upper GI bleeding.
This study would take place at Loma Linda University Medical Center.
Subjects will be any one who has upper GI bleed required EGD and age of greater than 18 years old.
The study will plan for 1 year or reach 50 patients (whichever one comes first).
In addition, subjects will be recruited from ED, ICU, Medicine ward by the PI, SubPI, and Collaborators.
Subject will received ultrasound up to 6 hours prior the start of endoscopy.
The location of Ultrasound would either take place at GI lab prior to scope or at the ward prior to transportation to GI lab or at ICU prior to endoscopy.
The ultrasound would focus upper abdomen area and look for antrum.
the result will be immediately read before endoscopy and fill out on the sheet before the endoscopy.
Patient then proceed with endoscopy.
At the end of the scope, the researcher will ask the endoscopist questions regarding how well they could see each part of the stomach in order to complete the study.
Both results are compared between US and Endoscopy.
Endoscopist is blinded in this study.
Study Overview
Status
Recruiting
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
50
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Yinglin Gao, DO
- Phone Number: 9172876166
- Email: ygao@llu.edu
Study Contact Backup
- Name: John Jae-Woo Kim, MD
- Email: johnjkim@llu.edu
Study Locations
-
-
California
-
Loma Linda, California, United States, 92354
- Recruiting
- Loma Linda University Medical Center
-
Contact:
- Yinglin Gao, D.O.
- Phone Number: 917-287-6166
- Email: ygao@llu.edu
-
Contact:
- John Jae-Woo Kim, M.D.
- Email: JohnJKim@llu.edu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age >18
- patient presents with hematemesis
- and/or melena
- and/or hematochezia accompanied by hemodynamic changes (pulse >100/min and/or systolic blood pressure <100/min)
- Patient is scheduled for upper endoscopy due to the above.
Exclusion Criteria:
- Decline consent for study
- Patients with last solid meal <6 hours and clear liquids <2 hours prior to the endoscopy
- Prior surgery in the stomach
- Patient has duodenum, Ileus, or bowel obstruction
- patient has history of gastric cancer
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Point of Care Ultrasound
|
Use Point of Care Ultrasound to evaluate the gastric content/bleed prior to upper endoscopy
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
measurement is gastric food content/blood.
Time Frame: after obtaining informed consent and prior to endoscopy being conducted.
|
Ultrasound would be conducted on upper abdomen to evaluate the presence of blood and/or food in the stomach.
The result would divided into empty (no food), small and large.
ultrasound mainly evaluate the antrum area to see whether it is dilated/distended or not.
if it is collapsed, then it is considered empty.
If it is largely dilated, it would be considered large.
|
after obtaining informed consent and prior to endoscopy being conducted.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 10, 2023
Primary Completion (Estimated)
December 1, 2024
Study Completion (Estimated)
December 1, 2024
Study Registration Dates
First Submitted
February 28, 2023
First Submitted That Met QC Criteria
February 28, 2023
First Posted (Actual)
March 10, 2023
Study Record Updates
Last Update Posted (Actual)
April 22, 2024
Last Update Submitted That Met QC Criteria
April 18, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 5220358
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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