An Imbalance in Plasma Amino Acids of Advaced Cirrhotic Patients Impairs the Maturation Of Dendritic Cells Via Mtor/S6K Signaling Pathway E. Kakazu 1 , Y. Ueno 1 , Y. Kondo 1 , K. Fukushima 1 , M. Shina 1 , J. Inoue 1 , K. Tamai 1 , M. Ninomiya 1 , T. Shimosegawa 1 1 Division of Gastroenterology, Tohoku University Hospital Conclusion: Although endoscopic haemostasis is an effective treatment modality; rebleeding is still commonly seen among patients with poor Child's grading and inoperable HCC. This will result in significant bleeding-related death and poor overall survival. Further advancement in treatment strategies for this group of patients are required to improve their outcome and prognosis.