Table 2.
Study | Description | N (active bleeding) |
GOV1/GOV2/IGV | Primary hemostasis OR (95% CI) |
Rebleeding rate HR (95% CI) |
1yr Mortality | Comment |
---|---|---|---|---|---|---|---|
Lo et al, 200142 | RCT Taiwan Single center EVBL vs. EVO |
29 vs. 31 (11 vs. 15 with active bleeding) | 13/33/14 | 45% vs. 87% 7.8 (1.16,52.35) |
48% vs. 29% 0.44 (0.19, 1.00) |
62% vs. 42% | EVO more effective and safer than EVBL in gastric variceal bleeding |
Tan et al, 200643 | RCT Taiwan Single center EVBL vs. EVO |
48 vs. 49 (15 vs. 15 with active bleeding) |
25/51/21 | 93% vs. 93% 1.00 (0.06, 17.62) |
42% vs.22% 0.41 (0.20, 0.82) |
44% vs. 42% | No difference between EVO and EVBL in efficacy, survival or severe complications. EVO associated with less rebreeding. |
El Amin et al, 201044 | RCT Egypt Multicenter EVBL vs. EVO |
75 vs. 75 (All GOV1) |
150/0/0 | 81% vs. 91% 2.23 (0.84, 5.89) |
16% vs. 6% | 1.3% vs.7% mortality at 6 month, most died from HRS |
All pts with GOV1, EVBL performed better in junctional varices. EVO can be an alternate therapy |
EVBL, endoscopic variceal band ligation, EVO, endoscopic variceal obturation, GOV1, gastroesophageal varices type 1, GOV2, gastroesophageal varices type 2, IGV1, isolated gastric varices type 1, RCT, randomized controlled trial, NS, nonsignificant, PVT, portal vein thrombosis, HRS, hepatorenal syndrome, OR, odds ratio, HR, hazard ration, CI, confidence interval