Comparing soft drink vs Carbex for double contrast upper GI studies

ISRCTN ISRCTN75939860
DOI https://doi.org/10.1186/ISRCTN75939860
Secondary identifying numbers 14/07/030
Submission date
19/06/2014
Registration date
08/07/2014
Last edited
20/12/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
A barium swallow and meal is a type of x-ray that allows doctors to examine the upper gastrointestinal tract (GI), which includes the throat, oesophagus (foodpipe), stomach and duodenum (first part of the small intestine). It is used in diagnosing problems and diseases in these organs. Usually, x-rays will only highlight bone and other parts of the body that block radiation, which makes them easy to see. Before the barium swallow and meal test can be done, the stomach has to be extended with gas to make the pictures as clear as possible. Patients are usually given a fizzy drink called Carbex. This study compares the Carbex with the use of the fizzy soft drinks Indian tonic water and ginger ale. We believe that using soft drinks rather than Carbex will not affect the quality of the test. If the study is successful, it will help us to introduce soft drinks routinely and help to reduce costs to the NHS.

Who can participate?
Patients 18 years and older that have been referred by doctors for a barium swallow and meal to investigate their upper GI tract.

What does the study involve?
Patients are randomly assigned to take either Carbex or a soft drink. If the soft drink does not give clear enough pictures, the patient is given Carbex to drink and the test continued. There are no health implications to this and the aftercare is the same as usual. Patients are then asked to complete a short questionnaire about their experience of the test.

What are the possible benefits and risks of participating?
Patients are likely to enjoy drinking the soft drink more than the Carbex, making the examination a more pleasant experience. Drinking either fizzy drink may cause bloating which can feel uncomfortable in the stomach. This is normal for this examination and is required to produce good pictures.

Where is the study run from?
Torbay Hospital (UK).

When is the study starting and how long is it expected to run for?
The study will run from July to December 2014.

Who is funding the study?
South Devon Healthcare NHS Foundation Trust (UK).

Who is the main contact?
Dr Alexander Crowther
acrowther1@nhs.net

Contact information

Dr Alexander Crowther
Scientific

Radiology Department
Torbay Hospital
Lawes Bridge
Torquay
TQ2 7AA
United Kingdom

Phone +44 (0) 1803 614567
Email acrowther1@nhs.net

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet Available on request to sdhct.research@nhs.net
Scientific titleComparing soft drink vs Carbex for double contrast upper GI studies: a randomised controlled trial
Study hypothesisCan a publicly purchased soft drink (i.e. Indian tonic water/ginger ale) achieve comparable distention of the upper gastrointestinal tract in comparison to Carbex during a double contrast barium study and provide a diagnostic study?

On 31/07/2014 the anticipated start date was changed from 01/05/2014 to 18/07/2014.
Ethics approval(s)NRES Committee South West - Cornwall & Plymouth, 16/07/2014, Ref: 14/SW/0126
ConditionOral and Gastrointestinal
InterventionParticipants are randomly allocated to one of two groups
1. Test group - drink soft drink (Indian tonic water or ginger ale) before taking barium
2. Control group - drink Carbex before taking barium
All participants then undergo upper gastrointestinal (GI) tract radiography
Intervention typeOther
Primary outcome measure1. Is the experimental soft drink used for gaseous distension of the upper GI tract not inferior to the gold standard Carbex against delta at study clinic?
2. Does the experimental soft drink provide a diagnostic upper GI double contrast barium study when used in the place of Carbex at study clinic?
Secondary outcome measures1. If the soft drink effervescent agent is found to be noninferior then a superiority test will be performed to ascertain whether it is better than Carbex.
2. What are the potential cost savings of using the soft drink over Carbex within this institution and nationwide?
Both assessed at the study clinic
Overall study start date18/07/2014
Overall study end date01/12/2014

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants200
Participant inclusion criteria1. Any patient referred for an upper GI double contrast GI study and is able to give informed consent.
2. Include any patient over 18 not classified to belonging to a vulnerable group. No upper age limit
Participant exclusion criteria1. Aged below 18 years of age.
2. Unable to give consent
3. Member of vulnerable group
Recruitment start date18/07/2014
Recruitment end date01/12/2014

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Radiology Department
Torquay
TQ2 7AA
United Kingdom

Sponsor information

South Devon Healthcare NHS Foundation Trust (UK)
Hospital/treatment centre

c/o Manager of Research and Development
Research and Development Department
Horizon Centre
Torbay Hospital
Lawes Bridge
Torquay
TQ2 7AA
England
United Kingdom

Phone +44 (0) 1803 636635
Email sdhct.research@nhs.net
Website http://www.sdhct.nhs.uk
ROR logo "ROR" https://ror.org/05374b979

Funders

Funder type

Hospital/treatment centre

South Devon Healthcare NHS Foundation Trust (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No

Editorial Notes

20/12/2017: No publications found, verifying study status with principal investigator.