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Hemospray™ is a new endoscopic hemostatic powder. Aims of this multicenter prospective study is to determine effectiveness of Hemospray™ on short and medium term in different clinical situations, predictive factors of rebleeding after Hemospray™ application, and feasibility of the application of hemostatic powder in routine clinical practice studying in a large sample of patients.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non interventional study | Other | All upper gastro-intestinal bleeding need endoscopic hemostasis. Endoscopic hemostasis conventional methods are injection of saline with epinephrine, placement of hemoclips and thermic or plasma coagulation. Hemospray™ will be sprayed onto bleeding lesions seen in endoscopy after failure of conventional methods or in salvage therapy at the discretion of endoscopists. Retrospective analysis of prospectively cellected data. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of immediate cessation of bleeding observed in first-line per procedure or after failure of normal hemostasis techniques. | Percentage of immediate cessation of bleeding observed in first-line per procedure or after failure of normal hemostasis techniques. | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Rebleeding rate at days 8 and 30, defined as the percentage of patients with >2g/dL hemoglobin AND/OR exteriorization of hematemesis AND/OR exteriorization of melena | Rebleeding rate at days 8 and 30, defined as the percentage of patients with >2g/dL hemoglobin AND/OR exteriorization of hematemesis AND/OR exteriorization of melena | 30 days |
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Inclusion Criteria:
Non Inclusion Criteria:
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All adult patients who received hemostatic powder for upper GI bleeding will be included in the study. Pregnant and adult under guardianship will be excluded.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Angers University Hospital | Angers | 49933 | France | |||
| Besançon University Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27760437 | Derived | Haddara S, Jacques J, Lecleire S, Branche J, Leblanc S, Le Baleur Y, Privat J, Heyries L, Bichard P, Granval P, Chaput U, Koch S, Levy J, Godart B, Charachon A, Bourgaux JF, Metivier-Cesbron E, Chabrun E, Quentin V, Perrot B, Vanbiervliet G, Coron E. A novel hemostatic powder for upper gastrointestinal bleeding: a multicenter study (the "GRAPHE" registry). Endoscopy. 2016 Dec;48(12):1084-1095. doi: 10.1055/s-0042-116148. Epub 2016 Oct 19. |
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| ID | Term |
|---|---|
| D006471 | Gastrointestinal Hemorrhage |
| ID | Term |
|---|---|
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
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| Besançon |
| 25030 |
| France |
| Bordeuax University Hospital | Bordeaux | 33076 | France |
| Lille University Hospital | Lille | 59037 | France |
| Limoges University Hospital | Limoges | 87042 | France |
| La Conception University Hospital | Marseille | 13005 | France |
| La Timone University Hospital | Marseille | 13005 | France |
| Nantes University Hospital | Nantes | 44093 | France |
| Nîmes University Hospital | Nîmes | 30029 | France |
| Cochin University Hospital | Paris | 75000 | France |
| Georges Pompidou University Hospital (AP-HP) | Paris | 75000 | France |
| Henri Mondor University Hospital (AP-HP) | Paris | 75000 | France |
| Lariboisière University Hospital (AP-HP) | Paris | 75000 | France |
| Rouen University Hospital | Rouen | 76031 | France |
| Saint-Brieuc University Hospital | Saint-Brieuc | 22000 | France |
| Clinique des Cèdres | Toulouse | 31000 | France |
| Tours University Hospital | Tours | 37044 | France |
| Vichy Hospital | Vichy | 03200 | France |
| Monaco University Hospital | Monaco | 98012 | Monaco |
| D013568 |
| Pathological Conditions, Signs and Symptoms |