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Hepatitis C, Hepatology, Endoscopy

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https://www.readbyqxmd.com/read/26871407/ultrasound-shear-wave-elastography-for-liver-disease-a-critical-appraisal-of-the-many-actors-on-the-stage
#1
F Piscaglia, V Salvatore, L Mulazzani, V Cantisani, C Schiavone
In the last 12 - 18 months nearly all ultrasound manufacturers have arrived to implement ultrasound shear wave elastography modality in their equipment for the assessment of chronic liver disease; the few remaining players are expected to follow in 2016.When all manufacturers rush to a new technology at the same time, it is evident that the clinical demand for this information is of utmost value. Around 1990, there was similar demand for color Doppler ultrasound; high demand for contrast-enhanced ultrasonography was evident at the beginning of this century, and around 2010 demand increased for strain elastography...
February 2016: Ultraschall in der Medizin
https://www.readbyqxmd.com/read/26363933/facility-and-patient-level-factors-associated-with-esophageal-variceal-screening-in-the-usa
#2
Jennifer A Flemming, Varun Saxena, Hui Shen, Norah A Terrault, Catherine Rongey
BACKGROUND AND AIM: The American Association for the Study of Liver Disease (AASLD) recommends screening for esophageal varices (EV) by esophagoduodenoscopy (EGD) in patients with cirrhosis to guide decisions regarding primary prophylaxis for EV hemorrhage. We aimed to identify patient and facility factors associated with EV screening in veterans with hepatitis C (HCV)-associated cirrhosis. METHODS: This was a population-based cohort study. Veterans with HCV and newly diagnosed cirrhosis between 1/1/2004 and 12/31/2005 and followed until 12/31/2011 were included...
January 2016: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/24365388/can-transient-elastography-fib-4-forns-index-and-lok-score-predict-esophageal-varices-in-hcv-related-cirrhotic-patients
#3
COMPARATIVE STUDY
Eman M Hassan, Dalia A Omran, Mohamad L El Beshlawey, Mahmoud Abdo, Ahmad El Askary
BACKGROUND: Gastroesophageal varices are present in approximately 50% of patients with liver cirrhosis. The aim of this study was to evaluate liver stiffness measurement (LSM), Fib-4, Forns Index and Lok Score as noninvasive predictors of esophageal varices (EV). METHODS: This prospective study included 65 patients with HCV-related liver cirrhosis. All patients underwent routine laboratory tests, transient elastograhy (TE) and esophagogastroduodenoscopy. FIB-4, Forns Index and Lok Score were calculated...
February 2014: Gastroenterología y Hepatología
https://www.readbyqxmd.com/read/18614972/use-of-corticosteroids-immunomodulators-and-infliximab-at-a-third-level-day-hospital-service-of-gastro-hepatology
#4
G C Actis, R Pellicano, E Bugianesi, M Lagget, M Rizzetto
AIM: Third-level Day-Hospital Services of Gastro-Hepatology are likely to recruit patients with an increased disease severity. The burden of request for immunomodulation drugs is presently unclear. METHODS: The charts of 1 012 consecutive patients who underwent day-hospital admission were reviewed. Among them, 975 were admitted for several reasons (percutaneous liver biopsies, abdominal fluid aspirations, infiltrations of hepatic nodules, gastrointestinal endoscopies with specific treatments)...
September 2008: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/17728145/an-incident-case-control-study-of-modes-of-hepatitis-c-virus-transmission-in-france
#5
Elisabeth Delarocque-Astagneau, Josiane Pillonel, Henriette De Valk, Alberto Perra, Syria Laperche, Jean-Claude Desenclos
PURPOSE: Risk factors for hepatitis C virus (HCV) infection have rarely been estimated using incident case-control studies in the "general" population. We undertook a case-control study of incident HCV infection to identify persistent modes of transmission in France. METHODS: Two types of case-patients were included: (1) repeat blood donors who seroconverted between 1998 and 2001 (with a last negative third-generation test reported from 1995 or after) and (2) seroconverters referred to hepatology departments in 2000 through 2001...
October 2007: Annals of Epidemiology
https://www.readbyqxmd.com/read/17491498/hepatology-outpatient-service-provision-in-secondary-care-a-study-of-liver-disease-incidence-and-resource-costs
#6
Simon Whalley, Prasanthi Puvanachandra, Atman Desai, Hugh Kennedy
This paper discusses the annual incidence of liver disease and resource costs in providing a hepatology service for all new outpatient referrals to a secondary care setting. In a retrospective study, we found that 200 patients (1 in 1,000 of the West Suffolk population) with a mean age of 52 years were referred per year. One-third of patients had cirrhosis (almost half due to alcohol). Annual incidence (per 100,000 population) were as follows: non-alcoholic fatty liver disease (29: of which 23.5 non-cirrhotic and 5...
April 2007: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/14619508/-multidisciplinary-treatment-for-hepatocellular-carcinoma-invading-the-stomach
#7
Masafumi Takahashi, Toru Beppu, Koichi Doi, Takatoshi Ishiko, Kazuharu Kai, Yasuro Doi, Hirohisa Okabe, Hiroshi Egami, Hiroshi Ashihara, Shigetoshi Fujiyama, Michio Ogawa
The patient was a 69-year-old man who was found to be positive for the hepatitis C antibody in 1996. Hepatocellular carcinoma (HCC) was found in S4 and S7 in April 2000. He received treatment by transcatheter arterial chemoembolization (TACE) 3 times and by percutaneous ethanol injection therapy 1 time. At that point pulmonary metastasis was found. In November 2001 he was urgently admitted with hematemesis to the Department of Gastroenterology and Hepatology of our hospital. Bleeding from the HCC invading the stomach was found by endoscopy...
October 2003: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/9011472/magnitude-and-management-of-hcv-infection-in-france
#8
C Trépo, F Bailly
The prevalence of hepatitis C virus infection in the general population in France averages 1%. The majority of these patients are viremic with detectable HCV-RNA. Further, 75% of these individuals did not suspect they were at risk for being HCV carriers. Less than 10% of HCV carriers in France have been identified and even fewer have been treated with interferon. In addition to infection following intravenous drug use, preliminary studies suggest that most newly infected patients have become infected following surgery or endoscopy without transfusion...
December 1996: Digestive Diseases and Sciences
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