Esophageal and Gastric Varices Clinical Trial
Official title:
A Prospective Multicenter, Open Study on the Safety and Efficacy of "Compont Medical Glue" in the Treatment of Esophagogastric Varices
To observe the Safety and Efficacy of Compont Medical Glue in the Treatment of Esophagogastric Varices.
Status | Recruiting |
Enrollment | 2200 |
Est. completion date | November 2018 |
Est. primary completion date | September 2018 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: - Esophagogastric varices caused by portal hypertension with or without history of bleeding and no matter whether emergency bleeding. - Patients may need to receive injection of histoacryl. - Have signed informed consent. Exclusion Criteria: - Allergic to formaldehyde or cyanoacrylate. - Women who are pregnant or breast-feeding. - With contraindications of endoscopic exam. - Computed tomography(CT)/Computed tomography angiography(CTA) shows that patient with severe portosystemic shunt. - Large amount of blood accumulated in the stomach severely affects the endoscopic vision clarity. - Other reasons that researcher think the patient is unsuitable for participating in the study. |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
China | 180 Fenglin Road | Shanghai | Shanghai |
Lead Sponsor | Collaborator |
---|---|
Shanghai Zhongshan Hospital | Lanzhou Second People's Hospital, Renmin Hospital of Wuhan University, The First Affiliated Hospital of Anhui Medical University |
China,
Jun CH, Kim KR, Yoon JH, Koh HR, Choi WS, Cho KM, Lim SU, Park CH, Joo YE, Kim HS, Choi SK, Rew JS. Clinical outcomes of gastric variceal obliteration using N-butyl-2-cyanoacrylate in patients with acute gastric variceal hemorrhage. Korean J Intern Med. 2014 Jul;29(4):437-44. doi: 10.3904/kjim.2014.29.4.437. — View Citation
Khawaja A, Sonawalla AA, Somani SF, Abid S. Management of bleeding gastric varices: a single session of histoacryl injection may be sufficient. Eur J Gastroenterol Hepatol. 2014 Jun;26(6):661-7. doi: 10.1097/MEG.0000000000000080. — View Citation
Monsanto P, Almeida N, Rosa A, Maçôas F, Lérias C, Portela F, Amaro P, Ferreira M, Gouveia H, Sofia C. Endoscopic treatment of bleeding gastric varices with histoacryl (N-butyl-2-cyanoacrylate): a South European single center experience. Indian J Gastroenterol. 2013 Jul;32(4):227-31. doi: 10.1007/s12664-012-0191-3. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The Occurrence Rate Of Different Adverse Event | Chest Pain/Epigastric Pain: Appears within 24 hours after injection of Compont Medical Glue and painkillers are used. Short-term Haemorrhage: Appears within 24 hours after injection of Compont Medical Glue. Glue Injection Related Bleeding: Appears within 2 months after injection of Compont Medical Glue confirmed by endoscopy. Fever: Patient has a fever over 38.0? within 3 days after injection of Compont Medical Glue. Ectopic Embolization: Appears within 3 days after injection of Compont Medical Glue and was confirmed by auxiliary examinations. Local Mucosal Necrosis: Local mucosal necrosis or ulcer appears around the injection poin within 2 months after injection of Compont Medical Glue. |
Up to 2 months after the injection of histoacryl. | No |
Secondary | Bleeding Rate | Data are analyzed separately as 14 days and 2 months for those patients who received endoscopic therapy for primary prevention of gastroesophageal varices bleeding. | 14 days and 2 months after injection of histoacryl. | No |
Secondary | Rebleeding Rate | Data are analyzed separately as 14 days and 2 months for those patients who received endoscopic therapy for secondary prevention of gastroesophageal varices bleeding. | 14 days and 2 months after injection of histoacryl. | No |
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