Liver Cirrhosis
Conditions
Keywords
Liver cirrhosis; Systemic inflammation
Brief summary
Investigate systemic inflammation in liver cirrhosis patients
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Decompensated liver cirrhosis, with endoscopy-verified high-risk esophagogastric varices; 2. Adult patients aged 18-75 years; 3. Willing to anticipate and informed consent form obtained
Exclusion criteria
1. History of prior radio-interventional therapy (TIPS or BRTO), liver transplantation, splenectomy, or hepatectomy; 2. Non-sinusoidal cirrhosis (e.g. vascular cirrhosis); 3. Coexistence with advanced hepatocellular carcinoma or other malignancies; 4. Coexistence with severe systemic diseases and less than 3 months of expected survival time; 5. Acute infection within 4 weeks before recruitment; 6. Antibiotic use within 4 weeks before recruitment; 7. Initial antiviral therapy for HBV or HCV within 4 weeks before recruitment; 8. Pregnant or lactating women; 9. Patients resistant to long-term follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Upper Gastrointestinal Bleeding | One Year | Overt upper GI bleeding due to esophagogastric varices, ulcers and other causes; Identified by clinical manifestations, lab tests and endoscopy and measured by number/proportion of patients |
| Death | One Year | Deaths caused by variceal bleeding, hepatocellular carcinoma, liver failure, etc |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| New or worsening acute decompensation event other than upper GI bleeding | One Year | Ascites, Hepatic encephalopathy, systemic infection, spontaneous bacterial peritonitis, hepatorenal syndrome, etc Identified by clinical manifestations, lab tests and images according to renown practice guidelines and measured by number/proportion of patients |
| Liver transplantation/ Transfer to other non-endoscopic therapies | One Year | Undergo liver transplantation, or transferred to surgical, radio-interventional, or other non-endoscopic therapies; Measured by number/proportion of patients |
Countries
China