TEAS for Variceal Bleeding Endoscopy in Cirrhosis
NCT07106658 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 180
Last updated 2026-04-13
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.
Conditions
- Gastrointestinal Endoscopy
- Upper Gastrointestinal Hemorrhage
- Variceal Bleeding
- Cirrhosis
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.
Sponsors & Collaborators
-
Beijing 302 Hospital
lead OTHER
Principal Investigators
-
Zheng Lu, Doctor · Beijing 302 Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-18
- Primary Completion
- 2026-02-03
- Completion
- 2026-02-12
Countries
- China
Study Locations
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