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Epiploic AppendagitisNCT06217978

The Image Characteristics of Epiploic Appendagitis on Ultrasound and Computed Tomography

An observational study of Epiploic Appendagitis, run by National Taiwan University Hospital at 1 site in Taiwan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Epiploic appendagitis is a benign and self-limited condition. However, incorrect diagnosis might lead to unnecessary admission, antibiotics use, or operation. The patient having epiploic appendagitis usually appeared at our emergency room with the complaint of abdominal pain. Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Epiploic Appendagitis
How many people
100 participants
Where
1 siteTaiwan
Study dates
31 May 2021to 31 Oct 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • All sexes
  • Adult, Older adult

Study population: Patients admitted to the National Taiwan University Hospital.

Who may be able to join

  • epiploic appendagitis was diagnosed by ultrasound or CT without other bowel pathology.

Who cannot join

  • Secondary epiploic appendagitis due to appendicitis, diverticulitis or other pathology.

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • Wan-Ching Lien

    Taipei, None Selected, 100

Other trials in Taiwan

About this study

Epiploic appendagitis is a benign and self-limited condition. However, incorrect diagnosis might lead to unnecessary admission, antibiotics use, or operation.

The patient having epiploic appendagitis usually appeared at our emergency room with the complaint of abdominal pain. There are numerous differential diagnoses when it comes to abdominal pain. Epiploic appendagitis might happen at any part of the colon. Therefore, diverticulitis or appendicitis might be suspected at the first moment. However, epiploic appendagitis might present different image characteristics besides diverticulitis or appendicitis under ultrasound or computed tomography. Some small case number retrospective reviews suggested that epiploic appendagitis was a 2-3cm, oval-shaped, fat density mass with fat stranding under the computed tomography. Under ultrasound, a noncompressible, hyperechoic ovoid mass might impress epiplopic appendagitis.

Read more

As ultrasound has become a more and more useful and convenient diagnostic tool in the emergency room, we could diagnose epiploic appendagitis quickly and correctly to reduce unnecessary management.

We would like to compare the image characteristics between the ultrasound image and the computed tomography image to help us to diagnose appendigitis with ultrasound in the future. Furthermore, we would also like to compare the computer tomography image of epiploic appendagitis in different locations.

Read the detailed description

The incidence of the epiploic appendagitis is unknown. However, some of the patients were first to be suspected to have appendicitis or diverticulitis, the percentages were 2% to 7% and 0.3% to 1 %, respectively. Epiploic appendages are small outpouchings of fat-filled structures presented on the colon's surface. The adult usually has 50-100 appendages along the entire colon. Epiploic appendagitis is defined as an ischemic infarction caused by torsion or spontaneous thrombosis of the central draining vein. Epiploic appendagitis is a benign and self-limited condition. However, incorrect diagnosis might lead to unnecessary admission, antibiotics use, or operation.

The patient having epiploic appendagitis usually appeared at our emergency room with the complaint of abdominal pain. There are numerous differential diagnoses when it comes to abdominal pain. Epiploic appendagitis might happen at any part of the colon. Therefore, diverticulitis or appendicitis might be suspected at the first moment. However, epiploic appendagitis might present different image characteristics other than diverticulitis or appendicitis under ultrasound or computed tomography. Some small case number retrospective reviews suggested that epiploic appendagitis was a 2-3cm, oval-shaped, fat density mass with fat stranding under the computed tomography. Under ultrasound, a noncompressible, hyperechoic ovoid mass might impress epiplopic appendagitis.

As ultrasound has become a more and more useful and convenient diagnostic tool in the emergency room, we could diagnose epiploic appendagitis quickly and correctly to reduce unnecessary management.

We would like to compare the image characteristics between the ultrasound image and the computer tomography image to help us to diagnose appendigitis with ultrasound in the future. Furthermore, we would also like to compare the computed tomography image of epiploic appendagitis in different locations.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The location of epiploic appendagitis

    The location of epiploic appendagitis by ultrasound and CT

    Measured: 3 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jan 2024
  2. Study start31 May 2021
  3. Primary completion31 May 2021
  4. Study completion31 Oct 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Retrospective
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06217978
Sponsor's protocol ID
202111032RIND
Status last verified
Dec 2023
First submitted
24 Dec 2023
Last updated
24 Jan 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Epiploic Appendagitis, run by National Taiwan University Hospital at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The location of epiploic appendagitis (time frame: 3 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jan 2024.

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