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Variceal band ligation for primary prophylaxis

Completed
Conditions
Topic: Oral and Gastrointestinal
Subtopic: Oral and Gastrointestinal (all Subtopics)
Disease: Gastrointestinal
Digestive System
Childhood portal hypertension
Registration Number
ISRCTN78678155
Lead Sponsor
British Society of Paediatric Gastroenterology Hepatology and Nutrition (BSPGHAN) (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
200
Inclusion Criteria

1. Aged less than or equal to 16 years, either sex
2. Large oesophageal varices
3. No previous variceal bleed
4. Variceal band ligation feasible

Exclusion Criteria

1. Previous endoscopic treatment for portal hypertension
2. Drug treatment for portal hypertension within previous 3 months
3. Anticipated need for liver transplantation or surgery for portal hypertension within 3 months
4. Presence of severe coagulopathy (international normalised ratio [INR] greater than 2.5 and/or platelets less than 50 x 10^9/L)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Oesophageal variceal haemorrhage, defined as malena and/or haematemesis together with either:<br>1. Endoscopic visualization of blood emanating from oesophageal varices, or<br>2. The presence of varices together with blood in the stomach and no other source of identifiable bleeding
Secondary Outcome Measures
NameTimeMethod
1. Other causes of gastrointestinal bleeding<br>2. Death due to variceal bleeding
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