Liver/Biliary

What are the Effects of Albumin in Patients With SBP?

Albumin infusion prevents renal impairment and reduces mortality among patients with spontaneous bacterial peritonitis (SBP), according to a meta-analysis published in the February issue of Clinical Gastroenterology and Hepatology. SBP is a common bacterial infection among cirrhotic patients and a dangerous complication of ascites. Mortality can reach 30% despite antibiotic

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New Ways to Study HCV, Genotypes 3 and 4

Researchers can now study replication of Hepatitis C virus genotypes 3 and 4 in cultured cells, described in 2 articles in the January issue of Gastroenterology. These new tools will improve our understanding of how they cause liver disease, and could lead to new treatments. HCV leads to chronic infection

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Can We Prevent Portal Vein Thrombosis in Patients With Cirrhosis?

The anti-clotting agent enoxaparin prevents portal vein thrombosis (PVT) in patients with cirrhosis, according to the November issue of Gastroenterology. PVT can lead to portal hypertension and reduce the blood supply to the liver—some patients with acute or extensive PVT develop severe gastrointestinal bleeding, ascites, or intestinal ischemia, which can progress and become

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Is it a Liver Tumor…or Spilled Gallstones?

A man with an abnormal liver mass who was initially believed to have a hepatic tumor was found to have a subphrenic abscess that contained spilled gallstones, shown in a November Image of the Month article in Clinical Gastroenterology and Hepatology. As described by Takuma Arai et al., a routine checkup

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Differences in HCV Infection, and Effects of Treatment, Among Countries

Hepatitis C virus (HCV) infections have developed and spread at different rates in different countries, affecting outcomes of therapy, according to the October issue of Gastroenterology. Specific details of each population must therefore be considered in designing prevention and treatment programs. Although there are many treatment options for HCV infection,

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What is the Best Way to Assess Bile Duct Strictures?

Researchers describe new methods to collect and process bile duct biopsies for evaluation of strictures, in the September issue of Clinical Gastroenterology and Hepatology. These approaches should provide a greater quantity of material for analysis and increase the accuracy of diagnosis. A biliary stricture is an abnormal narrowing of the

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How Common is Portal Hypertension in Patients With NAFLD?

Patients with nonalcoholic fatty liver disease (NAFLD) are at risk for portal hypertension and esophageal varices, according to the September issue of Clinical Gastroenterology and Hepatology. The study also shows that factors such as advanced liver disease, type 2 diabetes, and obesity can be used to identify patients most likely

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Can Circulating Membrane Vesicles Promote Portal Hypertension?

Patients with cirrhosis have a large amount of circulating membrane vesicles—breakdown products from inflammation and liver cell damage. However, these ‘microparticles’ (MPs) are not simply debris; they contribute to the systemic vasodilation and portal hypertension associated with cirrhosis, according to the July issue of Gastroenterology. Patients with cirrhosis have persistent

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It’s Not Easy to Diagnose Intermediate-Stage Liver Fibrosis

Biopsy has a low level of diagnostic performance for liver fibrosis stages F2 and F1. The recommendation for biopsy analysis, instead of non-invasive tests, for diagnosis of intermediate stages of fibrosis is therefore misleading, according to the June issue of Clinical Gastroenterology and Hepatology. Noninvasive tests such as FibroTest are

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A Special Issue on Viral Hepatitis

The May issue of Gastroenterology features a very special supplement—“Viral Hepatitis: A Changing Field”—comprising 17 review and commentary articles from international leaders in hepatitis treatment and research. The issue provides insight into the rapid progress made in the treatment and management of patients with viral hepatitis, as well as our

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