Cochrane · systematic review · CD011561

Band ligation versus sham or no intervention for primary prophylaxis of oesophageal variceal bleeding in children and adolescents with chronic liver disease or portal vein thrombosis

Cifuentes, LI, Gattini, D, Torres-Robles, R, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Hepato-BiliaryAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
3
No studies
2
Included studies
NR
No studies 2 · 40%Ungraded 0 · 0%Very low 3 · 60%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Band ligation compared to sham or no intervention for primary prophylaxis of oesophageal variceal bleeding in children and adolescents with chronic liver disease or portal vein thrombosis

Population: children with portal hypertension and large oesophageal varices, without previous gastrointestinal bleeding or beta‐blocker treatment
5 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Band ligation vs sham or no intervention
RR 2.54 [0.11, 56.25]1 study · 22 participantsVery low
Downgraded: risk of bias, imprecision
Serious adverse events Idiopathic thrombocytopaenic purpura
Band ligation vs sham or no intervention
RR 0.28 [0.01, 6.25]1 study · 22 participantsVery low
Downgraded: risk of bias, imprecision
Health‐related quality of life
Band ligation vs sham or no intervention
no estimate extractedNRNo studies
Oesophageal variceal bleeding
Band ligation vs sham or no intervention
RR 0.28 [0.03, 2.27]1 study · 22 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events considered not serious
Band ligation vs sham or no intervention
no estimate extractedNRNo studies