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. 2019 Jun 20;2019(6):CD012673. doi: 10.1002/14651858.CD012673.pub2

Sarin 1996.

Methods Single‐centre, open randomised clinical trial
Participants Included participants: cirrhosis with high‐risk oesophageal varices (n = 68) or non‐cirrhotic portal hypertension/extrahepatic portal vein block with high risk oesophageal varices (n = 6), with no history of upper gastrointestinal bleeding (Table 4)
Age (mean ± standard deviation):
  • banding 41.8 ± 13.7 years

  • no intervention 39.3 ± 11.9 years


Proportion of men:
  • banding 80.0%

  • no intervention 78.8%


Aetiology of cirrhosis (banding; no intervention):
  • alcohol 40.0%; 33.3%

  • chronic viral hepatitis not specified


Child‐Pugh score (A/B/C):
  • banding 9/16/11

  • no intervention 10/13/10


Presence of ascites:
  • banding 30 (85.7%)

  • no intervention 26 (78.8%)

Interventions Intervention comparison:
Band ligation (n = 35) (Table 5)
  • participants who developed recurrent varices (n = 10) underwent further banding

  • participants who bled during follow‐up were banded, if possible


No intervention (n = 33)
  • participants who bled during follow‐up were banded, if possible


Cointerventions: no information provided
Outcomes Outcomes included in the meta‐analyses:
  • Mortality

  • Upper gastrointestinal bleeding

  • Variceal bleeding

  • Serious adverse events

Inclusion period Not described
Country India
Duration of follow‐up Mean ± SD (months): banding 13.9 ± 4.6; no intervention 14.2 ± 5.5
Notes Publication status: full paper
  • The number of participants described in this paper is inconsistent

  • The participants in the two groups were well‐matched in relation to their demography, the aetiology and severity of their liver disease and their clinical presentation

  • The number of participants in the control group who suffered non‐serious adverse events is not reported. Thus, we were not able to include this randomised clinical trial in the analysis of non‐serious adverse events (Table 6).


For‐profit funding: not described
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Open randomised clinical trial without blinding
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Open randomised clinical trial without blinding
Incomplete outcome data (attrition bias) 
 All outcomes Low risk There are no missing outcomes and all participants are included in the analyses.
Selective reporting (reporting bias) Low risk Clinically relevant outcomes are defined and reported. We did not have access to the trial protocol.
Other bias Low risk No other biases identified
Overall bias assessment (mortality) High risk High risk of bias
Overall bias assessment (non‐mortality outcomes) High risk High risk of bias