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CTRI Number  CTRI/2025/01/079022 [Registered on: 20/01/2025] Trial Registered Prospectively
Last Modified On: 19/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Importance of second look endoscopy in patients of GI Bleed after normal endoscopy and colonoscopy: A prospective study. 
Scientific Title of Study   Importance of second look endoscopy in patients of potential small bowel bleed : A prospective observational study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Abdullah 
Designation  Senior Resident 
Affiliation  IPGMER and SSKM 
Address  Room no 24 4th floor Ronald Ross Building IPGMER and SSKM Hospital 244 AJC Bose Road Kolkata

Kolkata
WEST BENGAL
700020
India 
Phone  09453008887  
Fax    
Email  MAILABDULLAHJNMC@GMAIL.COM  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kshaunish Das 
Designation  Professor 
Affiliation  IPGMER and SSKM 
Address  Room no 24, 4th floor Ronald Ross Building, IPGMER and SSKM Hospital, 244 AJC Bose Road Kolkata

Kolkata
WEST BENGAL
700020
India 
Phone  9830349787  
Fax    
Email  dockdas@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Abdullah 
Designation  Senior Resident 
Affiliation  IPGMER and SSKM 
Address  Room no 24 4th floor Ronald Ross Building IPGMER and SSKM Hospital 244 AJC Bose Road Kolkata

Kolkata
WEST BENGAL
700020
India 
Phone  09453008887  
Fax    
Email  MAILABDULLAHJNMC@GMAIL.COM  
 
Source of Monetary or Material Support  
IPGMER and SSKM Hospital Kolkata room no 24 Ronald ross IPGMER and SSKM Hospital AJC Bose Road Kolkata 700020  
 
Primary Sponsor  
Name  IPGMER and SSKM Hospital 
Address  Room no 24 4th floor Ronald Ross Building IPGMER and SSKM Hospital 244 AJC Bose Road Kolkata 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Abdullah  IPGMER and SSKM Hospital  Endoscopy suits, School of Digestive and Liver Diseases, Gastroenterology Division, IPGMER and SSKM Hospital
Kolkata
WEST BENGAL 
09453008887

MAILABDULLAHJNMC@GMAIL.COM 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, IPGMER and  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K922||Gastrointestinal hemorrhage, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  All patients of potential small bowel GI bleed will be included. 
 
ExclusionCriteria 
Details  Patients with standard contraindications for UGIE will be exluded. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Proportion of patients in whom small bowel evaluation could have been avoided  at 12 month. 
 
Secondary Outcome  
Outcome  TimePoints 
Total Procedure Rates: Number of interventions needed to diagnose etiology of GI Bleed.
Transfusion Rate: Number of units of blood transfusion needed prior to diagnose etiology of GI Bleed.
Recurrence Rate: Number of episodes of GI Bleed over a follow-up period of 6-12 months.
Obscure GI Bleed prevalence: Number of patients not found to have a source of bleeding after standard upper & lower endoscopic examinations, small bowel evaluation with VCE and/or enteroscopy, & radiographic testing
 
12 MONTHS 
 
Target Sample Size   Total Sample Size="121"
Sample Size from India="121" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/01/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  30/01/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Previous prospective and retropesctive studies have revealed that, during evaluation for small bowel bleeding, 3.5 to ~20% have an attributable lesion within the reach of the upper and lower gastro-intestinal endoscope. We wanted to assess the prevalence of lesions causing GI bleeding, at second-look upper gastrointestinal endoscopy (UGIE) and/or Colonoscopy, that can avoid the necessity of performing small bowel evaluation (in form of enteroscopy and/or capsule endoscopy and/or CT-enterography) in patients presenting with Probable small bowel bleeding, either overt or occult.

 
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