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Terlipressin and somatostatin/octreotide are the first-line choices for the treatment of acute variceal bleeding in liver cirrhosis. Acute kidney injury can develop in patients presenting with acute variceal bleeding. On the other hand, evidence suggests that terlipressin can reverse hepatorenal syndrome. It has been hypothesized that terlipressin can protect the renal function in cirrhotic patients with acute variceal bleeding, except for control of bleeding.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Terlipressin group | Cirrhotic patients with acute gastrointestinal bleeding received terlipressin with or without somatostatin/octreotide. |
| |
| Somatostatin/Octreotide group | Cirrhotic patients with acute gastrointestinal bleeding received somatostatin and/or octreotide without terlipressin. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Terlipressin | Drug | Continuous or intermittent intravenous infusion of terlipressin was given. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of ICA-AKI and kidney function damage in cirrhotic patients with acute gastrointestinal bleeding | ICA-AKI and kidney function damage | Through study completion, an average of 1-2 weeks |
| Effect of ICA-AKI and kidney function damage on in-hospital mortality of cirrhotic patients with acute gastrointestinal bleeding | In-hospital mortality | Through study completion, an average of 1-2 weeks |
| Effect of terlipressin on the in-hospital mortality of cirrhotic patients with acute gastrointestinal bleeding with ICA-AKI and kidney function damage | In-hospital mortality associated with ICA-AKI and kidney function damage | Through study completion, an average of 1-2 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Cirrhotic patients with acute gastrointestinal bleeding received terlipressin or somatostatin/octreotide.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Liver Cirrhosis, The Fifth Medical Center of PLA General Hospital | Beijing | Beijing Municipality | 100039 | China | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30474439 | Background | Zhang J, Rossle M, Zhou X, Deng J, Liu L, Qi X. Terlipressin for the treatment of hepatorenal syndrome: an overview of current evidence. Curr Med Res Opin. 2019 May;35(5):859-868. doi: 10.1080/03007995.2018.1552575. Epub 2019 Jan 4. | |
| 30508958 | Background | Zhou X, Tripathi D, Song T, Shao L, Han B, Zhu J, Han D, Liu F, Qi X. Terlipressin for the treatment of acute variceal bleeding: A systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore). 2018 Nov;97(48):e13437. doi: 10.1097/MD.0000000000013437. |
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This plan to share the individual patient data has been not decided yet.
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| Somatostatin | Drug | Continuous or intermittent intravenous infusion of somatostatin was given. |
|
|
| Octreotide | Drug | Continuous or intermittent intravenous infusion of octreotide was given. |
|
|
| Difficult & Complicated Liver Diseases and Artificial Liver Center, Beijing YouAn Hospital, Capital Medical University |
| Beijing |
| Beijing Municipality |
| 100069 |
| China |
| Liver Research Center, The First Affiliated Hospital of Fujian Medical University | Fuzhou | Fujian | 350005 | China |
| Department of Hepatobiliary Disease, 900 Hospital of the Joint Logistics Team (formerly called Fuzhou General Hospital) | Fuzhou | Fujian | 350025 | China |
| Department of Gastroenterology, The First Affiliated Hospital of Nanchang University | Nanchang | Jiangxi | 330006 | China |
| Department of Gastroenterology, The First Affiliated Hospital of China Medical University | Shenyang | Liaoning | 110001 | China |
| Department of Critical Care Medicine, The Sixth People's Hospital of Shenyang | Shenyang | Liaoning | 110006 | China |
| Department of Gastroenterology, Air Force Hospital of Northern Theater Command | Shenyang | Liaoning | 110042 | China |
| Department of Gastroenterology, General Hospital of Northern Theater Command (formerly called General Hospital of Shenyang Military Area) | Shenyang | Liaoning | 110840 | China |
| Department of Gastroenterology, Xi'an Central Hospital | Xi'an | Shaanxi | 710000 | China |
| Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong University | Jinan | Shandong | 250021 | China |
| Eastern Hepatobiliary Hospital of the Second Military Medical University | Shanghai | Shanghai Municipality | China |
| Department of Gastroenterology, General Hospital of Western Theater Command | Chengdu | Sichuan | 610083 | China |
| State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University | Hangzhou | Zhejiang | 310003 | China |
| 29996332 | Background | Zhou XM, Qi XS, Jia JD. [An evidence-based terlipressin therapy for gastroesophageal variceal hemorrhage]. Zhonghua Gan Zang Bing Za Zhi. 2018 Apr 20;26(4):245-248. doi: 10.3760/cma.j.issn.1007-3418.2018.04.002. Chinese. |
| 32860184 | Derived | Xu X, Liu B, Lin S, Li B, Wu Y, Li Y, Zhu Q, Yang Y, Tang S, Meng F, Chen Y, Yuan S, Shao L, Bernardi M, Yoshida EM, Qi X. Terlipressin May Decrease In-Hospital Mortality of Cirrhotic Patients with Acute Gastrointestinal Bleeding and Renal Dysfunction: A Retrospective Multicenter Observational Study. Adv Ther. 2020 Oct;37(10):4396-4413. doi: 10.1007/s12325-020-01466-z. Epub 2020 Aug 28. |
| ID | Term |
|---|---|
| D008103 | Liver Cirrhosis |
| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D005355 | Fibrosis |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000077585 | Terlipressin |
| D013004 | Somatostatin |
| D015282 | Octreotide |
| ID | Term |
|---|---|
| D008236 | Lypressin |
| D014667 | Vasopressins |
| D010909 | Pituitary Hormones, Posterior |
| D010907 | Pituitary Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D009479 | Neuropeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D009842 | Oligopeptides |
| D009419 | Nerve Tissue Proteins |
| D011506 | Proteins |
| D010905 | Pituitary Hormone Release Inhibiting Hormones |
| D007028 | Hypothalamic Hormones |
| D010187 | Pancreatic Hormones |
| D010456 | Peptides, Cyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
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