Eliminating hepatitis C virus (HCV) infection reduces liver stiffness, according to a recent systematic review of 24 studies. Among the details:
- Eradicating HCV, as evidenced by a sustained viral response to therapy, has been linked to a decline in liver stiffness, which results from hepatic inflammation and fibrosis.
- Investigators looked at studies in which liver stiffness was measured using vibration-controlled transient elastrogprahy (VCTE) to assess the effects of direct-acting antivirals and interferon-based treatment.
- Patients who achieved a sustained viral response (SVR) to treatment experienced a median decrease in liver stiffness of 28.2% while patients who didn’t have a SVR saw no significant improvement in stiffness.
- Improvements in liver stiffness were greater among patients on direct-acting antivirals, when compared to those on interferon-based therapy.
Singh S, Facciorussoa A, Loomba R, et al. Magnitude and kinetics of decrease in liver stiffness after antiviral therapy in patients with chronic hepatitis C: A systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2018;16:27-38.e4. doi:10.1016/j.cgh.2017.04.038.
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Risk of Advanced Liver Disease in Hispanics , Clin Gastroenterol Hepatol; ePub 2018 Dec 7; Turner, et al
Liver Stiffness Improves After HCV Antiviral Tx, Clin Gastroenterol Hepatol; 2018 Jan; Singh, et al
Prevalence of Primary Biliary Cholangitis is Growing, Clin Gastroenterol Hepatol; ePub 2017 Dec 22; Lu, et al
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CLD Patients Don’t Reach Hospice Soon Enough, Am J Gastroenterol; 2017 Nov; Fukui, et al