Health Condition 1: null- Chronic Liver Disease ( Cirrhosis of Liver) Health Condition 2: K746- Other and unspecified cirrhosis ofliver
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 20- 70 years 2. Clinically diagnosed for hepatic cirrhosis having a Child Pugh score of B or C 3. Not willing for immediate liver transplantation either due to lack of donor tissue or financial issues 4. Life expectancy of at least 3 months based on MELD score and Child Pugh Score 5. Ability to give informed consent
Exclusion criteria
Exclusion criteria: 1. Age less than 20 or more than 70 years 2. Have liver tumors or history of any other cancer 3. Pregnant or lactating women 4. Patients with hepato renal syndrome and acute kidney injury ( Any creatinine > 2 will be excluded) 5. Evidence of ongoing sepsis â?? as per Surviving sepsis guideline 6. Recent gastrointestinal bleeding or spontaneous bacterial peritonitis (within last one month) 7. Any HIV positive patients 8. Comorbid conditions such as severe cardiac and/or pulmonary disease 9. Inability to give informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the improvement in liver functional status as judged MELD scoresTimepoint: 1 month, 3 month , 6 month , 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess improvement in child Pugh score , improvement in the percentage of CD 34 cells in liver , improvement in liver function tests , survival benefit at end of 3 months , 6 months and one year, decrease in incidence of sepsis , improvement in ascites and need for therapeutic paracentesis for respiratory difficulty , improvement in hepatic encephalopathy, and decrease in GI bleed. The effect of portal pressure on the outcome of the study would also be assessed.Timepoint: 1 month, 3 month , 6 month , 1 year | — |
Countries
India
Contacts
Asian Institute of Gastroenterology