Status:

COMPLETED

Monthly Versus Biweekly Endoscopic Variceal Ligation for the Prevention of Esophageal Variceal Rebleeding

Lead Sponsor:

Kaohsiung Veterans General Hospital.

Collaborating Sponsors:

Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC

National Yang-Ming University, Kaohsiung, Taiwan, ROC

Conditions:

Variceal Bleeding, Endoscopic Variceal Ligation

Eligibility:

All Genders

20-80 years

Phase:

NA

Brief Summary

Endoscopic variceal ligation (EVL) has proved to be effective in the prevention of esophageal variceal rebleeding. However, the optimal interval of EVL remains unclear. Our previous studies demonstrat...

Detailed Description

Esophageal varices are the most important portosystemic collaterals owing to their rupture results in variceal hemorrhage, which is a devastating event of portal hypertension. Cirrhotic patients survi...

Eligibility Criteria

Inclusion

  • active or recent hemorrhage from esophageal varices;
  • portal hypertension caused by cirrhosis

Exclusion

  • age \> 80 or \<20 years old
  • association with hepatocellular carcinoma or other neoplasms;
  • association with cerebral vascular accident, uremia, acute coronary syndrome or other severe illnesses;
  • history of gastric variceal bleeding;
  • a history of undergoing EIS, EVL, cyanoacrylate injection or prior use of beta blocker;
  • a history of prior shunt operation or transjugular intrahepatic portosystemic stent shunt (TIPS);
  • deep jaundice (serum bilirubin \> 10 mg/dL);
  • encephalopathy equal to or greater than stage II;
  • failure in control of index variceal bleeding;
  • death within 48 h of admission; or
  • refusal to participate in the trial.

Key Trial Info

Start Date :

January 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2012

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT01809535

Start Date

January 1 2009

End Date

October 1 2012

Last Update

March 12 2013

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Kaohsiung Veterans General Hospital

Kaohsiung City, Taiwan, 81362