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Abstract Summary and conclusion Transarterial chemoembolization {TACE} is an optimal treatment for HCC patients with unresectable, intermediate stage hepatocellular carcinoma {HCC} without significant hepatic synthetic dysfunction. TACE may be associated with many injurious complications although it may be associated with increased survival in some patients TACE produces elevation in portal blood flow and increased intravariceal pressure and in rare instances may precipitate varecial bleeding in patients with coexisting portal hypertension. This study was aimed to detect TACE complications with especial emphasis in changes in varicial size after treatment. Methods: our study was conducted on 77 naïve hepatocellular carcinoma patients with small sized esophageal varices with no history of upper gastrointestinal bleeding or prophylactic beta – blocker treatment. These HCC patients were diagnosed according to the American association for the study of liver disease 2010 {hepatic focal lesion with CT or MRI criteria of HCC wash in arterial phase and wash out in portovenous-delayed phases}. These patients were conducted on liver functions tests, renal functions tests , INR , CBC and AFP and viral markers .These patients were treated with TACE according Barcelona –Clinic |