Involvement of portosystemic shunts in impaired improvement of liver function after direct‐acting antiviral therapies in cirrhotic patients with hepatitis C virus

2020 ◽  
Vol 50 (4) ◽  
pp. 512-523
Author(s):  
Shohei Tsuji ◽  
Yoshihito Uchida ◽  
Hayato Uemura ◽  
Jun‐Ichi Kouyama ◽  
Kayoko Naiki ◽  
...  
2019 ◽  
Vol 34 (9) ◽  
pp. 1620-1625 ◽  
Author(s):  
Chen‐Hua Liu ◽  
Tung‐Hung Su ◽  
Chun‐Jen Liu ◽  
Chun‐Ming Hong ◽  
Hung‐Chih Yang ◽  
...  

2017 ◽  
Vol 48 (5) ◽  
pp. 337-344 ◽  
Author(s):  
Ryosuke Sugimoto ◽  
Motoh Iwasa ◽  
Nagisa Hara ◽  
Yasuyuki Tamai ◽  
Kyoko Yoshikawa ◽  
...  

2016 ◽  
Vol 23 (Suppl 1) ◽  
pp. A151.1-A151
Author(s):  
MA Parro Martín ◽  
MA Rodríguez Sagrado ◽  
MR Pintor Recuenco ◽  
N Vicente Oliveros ◽  
M Vélez-Díaz-Pallarés ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Theodoros Voulgaris ◽  
Vassilios A. Sevastianos

Chronic hepatitis C virus infection is associated with significant morbidity and mortality, as a result of progression towards advanced natural course stages including cirrhosis and hepatocellular carcinoma. On the other hand, the SVR following successful therapy is generally associated with resolution of liver disease in patients without cirrhosis. Patients with cirrhosis remain at risk of life-threatening complications despite the fact that hepatic fibrosis may regress and the risk of complications such as hepatic failure and portal hypertension is reduced. Furthermore, recent data suggest that the risk of HCC and all-cause mortality is significantly reduced, but not eliminated, in cirrhotic patients who clear HCV compared to untreated patients and nonsustained virological responders. Data derived from studies have demonstrated a strong link between HCV infection and the atherogenic process. Subsequently HCV seems to represent a strong, independent risk factor for coronary heart disease, carotid atherosclerosis, stroke, and, ultimately, CVD related mortality. The advent of new direct acting antiviral therapy has dramatically increased the sustained virological response rates of hepatitis C infection. In this scenario, the cardiovascular risk has emerged and represents a major concern after the eradication of the virus which may influence the life expectancy and the quality of patients’ life.


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