Role of Liver Biopsy in the Era of Direct-Acting Antivirals

An accurate assessment of the degree of fibrosis or presence of cirrhosis is critical both for the appropriate management of, and to provide prognosis for, patients with chronic hepatitis C infection. In the new era of direct acting antivirals, large numbers of patients may enter therapy, and althou...

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Veröffentlicht in:Current gastroenterology reports 2013-02, Vol.15 (2), p.307, Article 307
Hauptverfasser: Gonzalez, Humberto C., Jafri, Syed Mohammed, Gordon, Stuart C
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creator Gonzalez, Humberto C.
Jafri, Syed Mohammed
Gordon, Stuart C
description An accurate assessment of the degree of fibrosis or presence of cirrhosis is critical both for the appropriate management of, and to provide prognosis for, patients with chronic hepatitis C infection. In the new era of direct acting antivirals, large numbers of patients may enter therapy, and although liver biopsy remains the gold standard, it is not practical in all settings. In recent years, a variety of noninvasive methods have been developed that may obviate the need for liver biopsy in most settings. Indirect laboratory formulas, tests, panels of biomarkers and imaging modalities may accurately stage the degree of fibrosis in hepatitis C monoinfection, hepatitis C/HIV coinfection, and post-transplant recurrent hepatitis C.
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Public Health</subject><subject>Pathology</subject><subject>Patients</subject><subject>Pneumothorax</subject><subject>Sampling error</subject><subject>Section Editor</subject><subject>Severity of Illness Index</subject><subject>Topical Collection on Liver</subject><issn>1522-8037</issn><issn>1534-312X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kMtKAzEUhoMotlYfwI0MuI7mNkkGV7XWCxQEUXAXkkmmprQzNZkW2qc3w3hZufoP_JcDHwDnGF1hhMR1xFgWDCJMIKJIwP0BGOKcMkgxeT_sbkKgRFQMwEmMC4RIavFjMCCU4gJJPgQ3L83SZU2VzfzWhezWN-u4y3ydtR8umwbdWXc-uLKF47L19Twb163f-qCX8RQcVUnc2beOwNv99HXyCGfPD0-T8QyWNBd7yArJGTHOWqG5ZTl2xlhhc-tEZSuJi9yZdOLScJlXTBOmhTHaaM4KLWlBR-Cy312H5nPjYqsWzSbU6aUiBZaCU454SuE-VYYmxuAqtQ5-pcNOYaQ6XKrHpRIu1eFS-9S5-F7emJWzv40fPilA-kBMVj134e_1_6tfWAd1Eg</recordid><startdate>201302</startdate><enddate>201302</enddate><creator>Gonzalez, Humberto C.</creator><creator>Jafri, Syed Mohammed</creator><creator>Gordon, Stuart C</creator><general>Current Science Inc</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>201302</creationdate><title>Role of Liver Biopsy in the Era of Direct-Acting Antivirals</title><author>Gonzalez, Humberto C. ; 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subjects Antiviral Agents - therapeutic use
Biomarkers - blood
Biopsy
Disease
Elasticity Imaging Techniques
Gastroenterology
Hemothorax
Hepatitis B
Hepatitis C
Hepatitis C, Chronic - drug therapy
Hepatitis C, Chronic - pathology
HIV
Human immunodeficiency virus
Humans
Hypotension
Inflammation
Liver (B Bacon
Liver - pathology
Liver cirrhosis
Liver Cirrhosis - blood
Liver Cirrhosis - diagnostic imaging
Liver Cirrhosis - pathology
Liver Cirrhosis - virology
Liver transplants
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Pathology
Patients
Pneumothorax
Sampling error
Section Editor
Severity of Illness Index
Topical Collection on Liver
title Role of Liver Biopsy in the Era of Direct-Acting Antivirals
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