Transjugular Intrahepatic Porto-systemic Shunt (TIPS) with Gore-tex covered stent-graft versus endoscopic treatment for acute bleeding of esophageal varices.
Recruiting
- Conditions
- bleeding of esophageal varicose veinsportal hypertension10019654
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- 72
Inclusion Criteria
Acute or subacute bleeding of esophageal varices as documented with diagnostic endoscopy.
Initial stabilization, as achieved by using octreotide infusion and endoscopic ligation of the major bleeding vessel, and placement of a Sengstaken tube in patients in whom the former combination treatment fails to stop the bleeding.
Informed consent.
Exclusion Criteria
Serious or untreatable encephalopathy.
Heart failure.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Recurrence of bleeding</p><br>
- Secondary Outcome Measures
Name Time Method <p>Initial technical success in staunching bleeding.<br /><br>Child Pugh classification.<br /><br>Incidence of encephalopathy.<br /><br>Mortality.<br /><br>Medical costs.<br /><br>Non-medical costs.</p><br>