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NCT04880421: PORTOGRELE

Diagnostic Performance of Arterial Time for CT Assessment of Parietal Enhancement Defect for the Diagnosis of Ischemia in Mechanical Small Bowel Occlusions: a Comparative Study With Portal Time

Completed Last updated 27 April 2023
What this trial tests

trial in Bowel Obstruction Small in 158 participants. Completed in 26 April 2023.

Timeline
27 April 2021
Primary endpoint
27 June 2021
26 April 2023

Quick facts

Lead sponsorFondation Hôpital Saint-Joseph
StatusCompleted
Study typeOBSERVATIONAL
Enrollment158
Start date27 April 2021
Primary completion27 June 2021
Estimated completion26 April 2023
Sites1 location across France

Conditions studied

Sponsor

Fondation Hôpital Saint-Joseph — full company profile →

Who can join

18 and older, any sex, with Bowel Obstruction Small. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Intestinal obstruction is a frequent cause of emergency room visits and represents about 4-7% of the causes of acute abdominal pain syndrome and up to 30% in adults over 60 years old. Although 65 to 80% of patients are treated medically, small bowel obstruction remains a serious pathology, with a high mortality rate that can reach 25% in case of small bowel ischemia. It is necessary to systematically perform a CT scan in the initial workup of small bowel obstructions to confirm the diagnosis, identify the mechanism and detect signs of ischemia that would require emergency surgery. The best sign for the diagnosis of ischemia is the defect or asymmetry of parietal enhancement of the dilated small bowel. In the literature, this sign is described almost exclusively at portal time. In case of suspicion of mesenteric ischemia (another serious pathology affecting the small bowel), it is recommended to perform an examination with three acquisitions (without injection, arterial time, and portal time). The department's experience has shown that arterial time is sometimes more sensitive than portal time for visualizing a parietal enhancement defect of the small bowel in mechanical occlusions. Very few studies have investigated the diagnostic performance of parietal enhancement asymmetry on arterial time in mechanical occlusions of the small bowel.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other Fondation Hôpital Saint-Joseph trials

Trials by the same sponsor.

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Data sources for this page

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