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COMPLETED
NCT07106658
NA

TEAS for Variceal Bleeding Endoscopy in Cirrhosis

Sponsor: Beijing 302 Hospital

View on ClinicalTrials.gov

Summary

This randomized controlled trial evaluates whether transcutaneous electrical acupoint stimulation (TEAS) improves procedural success and patient tolerance in cirrhotic patients undergoing urgent unsedated endoscopy for suspected variceal bleeding. Participants with cirrhosis and suspected acute variceal bleeding requiring urgent endoscopy are randomly assigned to one of three groups: 1. Active TEAS: Electrical stimulation at bilateral Hegu (LI4), Neiguan (PC6), Zusanli (ST36), and Gongsun (SP4) starting 30 minutes before endoscopy and continuing until 15 minutes after the procedure. 2. Sham TEAS: Identical electrode placement but no electrical current. 3. Control: Standard endoscopy alone without electrodes. All patients receive topical pharyngeal anesthesia and standardized medical management. The study assesses procedural success (composite of technical adequacy and patient satisfaction), patient discomfort (visual analogue scale), procedure time, hemostasis outcomes, physiological parameters, and clinical experience measures.

Official title: Transcutaneous Electrical Acupoint Stimulation for Suspected Variceal Bleeding Endoscopy: A Randomized Clinical Trial

Key Details

Gender

All

Age Range

18 Years - 80 Years

Study Type

INTERVENTIONAL

Enrollment

180

Start Date

2025-07-18

Completion Date

2026-02-12

Last Updated

2026-04-13

Healthy Volunteers

No

Interventions

OTHER

TEAS + Urgent Endoscopy

Device: Hwato SDZ-III Electronic Acupuncture Treatment Instrument Stimulation at LI4, PC6, ST36, SP4; 2/20 Hz dense-disperse wave; intensity to maximum tolerance; 30 min pre-procedure to 15 min post-procedure.

OTHER

Sham TEAS + Urgent Endoscopy

Device: Hwato SDZ-III Electronic Acupuncture Treatment Instrument (no current) Identical electrode placement; no electrical stimulation; same duration as active group.

OTHER

Urgent Endoscopy Only

Standard urgent endoscopy with topical pharyngeal anesthesia; no TEAS intervention.

Locations (1)

The Fifth Medical Center of PLA General Hospital

Beijing, Beijing Municipality, China