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The main complications of cirrhosis are ascites, esophageal varices and hepatic encephalopathy. About 30% to 70% patients with cirrhosis occur esophageal varices, and the most common complication is ascites. Somatostatin is used to treat esophageal for a long time, otherwise it could aslo prevent ascites. In the study, the investigators explore the effects of somatostatin on post-endoscopic portal hemodynamic in cirrhotic patients with esophageal gastric varices.
126 patients will be enrolled in the study, 63 subjects will be randomized into the group A and the other will be into the group B.
Group A: endoscopic therapy and somatostatin treatment. Group B: endoscopic therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| endoscopic and somatostatin treatment | Experimental |
| |
| endoscopic therapy | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Somatostatin | Drug | giving stilamin 250ug/h after endoscopic therapy for 5 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Portal vein blood flow volume | Note:
| change from baseline in portal vein blood flow volume after 7 days treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Portal vein diameter (PVD mm) | Portal vein diameter will be measured by doppler ultrasound device. | change from baseline in PDV after 7 days treatment |
| Mean portal vein blood velocity (PVV cm/s) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yun Sh Yang, Pro. | Chinese PLA General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site | Recruiting | Beijing | 010 | China |
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| ID | Term |
|---|---|
| D013004 | Somatostatin |
| D000900 | Anti-Bacterial Agents |
| ID | Term |
|---|---|
| D010905 | Pituitary Hormone Release Inhibiting Hormones |
| D007028 | Hypothalamic Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
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| endoscopic therapy | Procedure | gastroscope plus EIS/EVL/HI |
|
|
PVV will be measured by doppler ultrasound device.
| change from baseline in PVV after 7 days treatment |
| Ascites volume | Sonography detecting site: the middle point of the line between navel and the right side of anterior superior iliac spine(ASIS) | change from baseline after 7 days treatment |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010187 | Pancreatic Hormones |
| D009479 | Neuropeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D009419 | Nerve Tissue Proteins |
| D011506 | Proteins |
| D000890 | Anti-Infective Agents |
| D045506 | Therapeutic Uses |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |