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. Author manuscript; available in PMC: 2016 Jul 1.
Published in final edited form as: Gastrointest Endosc Clin N Am. 2015 Jun 5;25(3):491–507. doi: 10.1016/j.giec.2015.03.004

Table 2.

Randomized controlled studies comparing endoscopic variceal band ligation with endoscopic variceal obturation

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