Esophageal variceal bleeding is characteristic of high rebleeding rate and mortality. Thanks
to the recent advance of treatment for variceal bleeding such as non-selective beta blocker
(NSBB) added to endoscopic ligation further reduce rebleeding in cirrhotic patients, the
rebleeding rate and mortality has a marked reduction. However, hepatocellular carcinoma
(HCC) is a distinct group characteristic of very poor prognosis in patients with portal
hypertension when compared to those of liver cirrhosis only. Therefore, the investigators
design a study to randomize patients with HCC and acute variceal bleeding to endoscopic
treatment alone and combination with endoscopic treatment and NSBB. This is the two years
study.
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Rebleeding
2 year
No
Taiwan: Department of Health
V99C1-026;V100C-024
NCT01451658
December 2009
October 2012
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