Low liver stiffness among cirrhotic patients with hepatitis B after prolonged treatment with nucleoside analogs.

Abstract:

OBJECTIVE:Case reports and short-term clinical trials have suggested that treatment for chronic hepatitis B (CHB) may lead to improvement of cirrhosis. The aim of the present study was to measure liver stiffness in patients diagnosed with advanced fibrosis or cirrhosis prior to prolonged treatment with nucleoside or nucleotide analogs (NUCs) for CHB. MATERIALS AND METHODS:Patients with CHB and advanced fibrosis or cirrhosis prior to treatment with NUCs for at least 1 year were offered inclusion in the study. We measured liver stiffness using transient elastography (TE) at follow-up. TE cut-off levels to Metavir classification for fibrosis stage F2, F3 and F4 were ≥7.2 kPa, ≥8.1, and ≥11.0 kPa, respectively. RESULTS:Among 66 patients with a successful TE examination at follow-up, 53 patients (80%) had cirrhosis and 13 had (20%) advanced fibrosis (F3) prior to treatment. Median treatment duration was 50.5 months. Among patients with cirrhosis prior to treatment, 26 (49%) had liver stiffness below 11.0 kPa at follow-up, suggesting regression of cirrhosis. Among patients with advanced fibrosis (F3) prior to treatment, 10 (77%) had liver stiffness below 8.1 kPa after treatment, suggesting improvement of fibrosis. CONCLUSION:Transient elastography examinations demonstrate that prolonged treatment with NUCs in patients with CHB results in low liver stiffness, suggesting regression of fibrosis in a majority of patients with advanced fibrosis or cirrhosis.

journal_name

Scand J Gastroenterol

authors

Andersen ES,Weiland O,Leutscher P,Krarup H,Westin J,Moessner B,Konopski Z,Frigstad SO,Kjær M,Christensen PB,Weis N

doi

10.3109/00365521.2011.565068

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

760-6

issue

6

eissn

0036-5521

issn

1502-7708

journal_volume

46

pub_type

杂志文章,多中心研究
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    authors: Thjodleifsson B,Wormsley KG

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    authors: Nordenstedt H,El-Serag H

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    authors: Coerper S,Sigloch E,Cox D,Starlinger M,Köveker G,Becker HD

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    doi:10.3109/00365529609036908

    authors: Oman H,Henriksson AE,Johansson SG,Blomquist L

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    pub_type: 临床试验,杂志文章,随机对照试验

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    journal_title:Scandinavian journal of gastroenterology

    pub_type: 杂志文章,评审

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