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Scleroligation for Eradication of Gastroesophageal Varices.

Phase 3
Conditions
Gastroesophageal Varices
Interventions
Procedure: Scleroligation
Procedure: Band ligation
Procedure: Sclerotherapy
Registration Number
NCT02646202
Lead Sponsor
Sherief Abd-Elsalam
Brief Summary

Gastric varices occur in 5-33% of patients with portal hypertension. Concomitant gastro esophageal varices are the most common type. Both endoscopic sclerotherapy and band ligation are very effective in controlling acute esophageal varices bleeding and preventing rebleeding.

Detailed Description

Evaluation of a new scleroligation technique for management of bleeding gastro-esophageal varices regarding efficacy, complications, variceal recurrence, and survival.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
90
Inclusion Criteria
  • cirrhotic patients presenting with an acute or recent episode of gastro-esophageal variceal bleeding.
Exclusion Criteria
  • Patients were excluded if they had malignancy of any origin.
  • Any terminal illness, such as heart failure, uremia, or chronic pulmonary diseases.
  • Other potential causes of GIT bleeding.
  • Patients with previous endoscopic or surgical intervention for varices were also excluded.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Sclero-ligation (SL) groupScleroligationthirty patients treated by intra variceal endoscopic sclerotherapy combined with band ligation.
Endoscopic band ligation groupBand ligationthirty patients treated by endoscopic banding using the Euro-Ligator system.
Sclerotherapy groupSclerotherapythirty patients treated by sclerotherapy for OV using ethanolamine oleate 5%.
Primary Outcome Measures
NameTimeMethod
Number of sessions to complete variceal obliteration1 year
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Tropical medicine dept.-Tanta university hospital

🇪🇬

Tanta, Egypt

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