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Comparison Between Two Endoscopic Treatments of Bleeding Internal Hemorrhoids:Band Ligation and Electrocoagulation Probe

Primary Purpose

Hemorrhoids

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Rubber band ligation
Bipolar coagulation
Sponsored by
University of California, Los Angeles
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hemorrhoids focused on measuring Internal hemorrhoids, Rubber band ligation, Bipolar coagulation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Grade II or III internal hemorrhoids with chronic rectal bleeding, which failed at least 8 weeks of intensive medical therapy.
  2. Age over 18 years
  3. A life expectancy of at least 24 months
  4. A signed written informed consent

Exclusion Criteria:

  1. The patient was uncooperative or could not return for routine outpatient follow-up
  2. Severe or end-stage co-morbid illness
  3. Prior endoscopic or surgical treatment of hemorrhoids within the past 6 months
  4. Ongoing need for anticoagulation therapy or high doses of aspirin or non-steroidal antiinflammatory agents
  5. Presence of severe rectal pain
  6. Recently thrombosed internal or external hemorrhoids
  7. Anal stricture,fissure, fistula,or abscess
  8. Rectal carcinoma or bleeding distal colonic polyp
  9. Rectal varices
  10. Acute or chronic colitis
  11. Rectal prolapse
  12. Radiation telangiectasia of the rectum
  13. Prothrombin time >3 seconds over control
  14. Platelet count <75,000

Sites / Locations

  • Rome Jutabha,MD

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

1

2

Arm Description

Rubber band ligation

Bipolar coagulation

Outcomes

Primary Outcome Measures

treatment success rate

Secondary Outcome Measures

treatment complication rate

Full Information

First Posted
February 27, 2008
Last Updated
March 6, 2008
Sponsor
University of California, Los Angeles
Collaborators
American Society for Gastrointestinal Endoscopy
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1. Study Identification

Unique Protocol Identification Number
NCT00630669
Brief Title
Comparison Between Two Endoscopic Treatments of Bleeding Internal Hemorrhoids:Band Ligation and Electrocoagulation Probe
Official Title
Randomized Study Of Endoscopic Band Ligation Versus Bipolar Probe Electrocoagulation Of Bleeding Internal Hemorrhoids
Study Type
Interventional

2. Study Status

Record Verification Date
May 2001
Overall Recruitment Status
Completed
Study Start Date
December 1997 (undefined)
Primary Completion Date
May 2000 (Actual)
Study Completion Date
May 2001 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
University of California, Los Angeles
Collaborators
American Society for Gastrointestinal Endoscopy

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine which treatment, band ligation (placing rubber bands around the hemorrhoids) or BICAP electrocoagulation (using electricity to cauterize) is safer and more effective endoscopic treatment for bleeding internal hemorrhoids.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hemorrhoids
Keywords
Internal hemorrhoids, Rubber band ligation, Bipolar coagulation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Description
Rubber band ligation
Arm Title
2
Arm Type
Active Comparator
Arm Description
Bipolar coagulation
Intervention Type
Procedure
Intervention Name(s)
Rubber band ligation
Intervention Description
placing rubber bands around the internal hemorrhoids
Intervention Type
Procedure
Intervention Name(s)
Bipolar coagulation
Intervention Description
using electricity to cauterize
Primary Outcome Measure Information:
Title
treatment success rate
Time Frame
one year
Secondary Outcome Measure Information:
Title
treatment complication rate
Time Frame
one year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Grade II or III internal hemorrhoids with chronic rectal bleeding, which failed at least 8 weeks of intensive medical therapy. Age over 18 years A life expectancy of at least 24 months A signed written informed consent Exclusion Criteria: The patient was uncooperative or could not return for routine outpatient follow-up Severe or end-stage co-morbid illness Prior endoscopic or surgical treatment of hemorrhoids within the past 6 months Ongoing need for anticoagulation therapy or high doses of aspirin or non-steroidal antiinflammatory agents Presence of severe rectal pain Recently thrombosed internal or external hemorrhoids Anal stricture,fissure, fistula,or abscess Rectal carcinoma or bleeding distal colonic polyp Rectal varices Acute or chronic colitis Rectal prolapse Radiation telangiectasia of the rectum Prothrombin time >3 seconds over control Platelet count <75,000
Facility Information:
Facility Name
Rome Jutabha,MD
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Comparison Between Two Endoscopic Treatments of Bleeding Internal Hemorrhoids:Band Ligation and Electrocoagulation Probe

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