Treatment of HCV infection in patients with cirrhosis

The treatment of patients with cirrhosis has the following purposes: to prevent the complications of the disease; to allow for the regression of cirrhosis; and to prevent reinfection in the graft in patients undergoing liver transplantation. When the sustained viral response is evaluated in patients...

Full description

Bibliographic Details
Main Authors: Angelo Alves de Mattos, Ângelo Zambam de Mattos
Format: Article
Language:English
Published: Elsevier 2010-01-01
Series:Annals of Hepatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1665268119317296
_version_ 1818608230426738688
author Angelo Alves de Mattos
Ângelo Zambam de Mattos
author_facet Angelo Alves de Mattos
Ângelo Zambam de Mattos
author_sort Angelo Alves de Mattos
collection DOAJ
description The treatment of patients with cirrhosis has the following purposes: to prevent the complications of the disease; to allow for the regression of cirrhosis; and to prevent reinfection in the graft in patients undergoing liver transplantation. When the sustained viral response is evaluated in patients with cirrhosis, especially in those with decompensated disease, it is noted to be lower than that of patients with chronic hepatitis, and with a higher possibility of complications of the treatment. Based on a review of the literature, we conclude that we should treat patients with compensated cirrhosis, probably also those with portal hypertension, and patients with decompensated cirrhosis only when included on the transplant list, as long as Child B with HCV genotype 2 (possibly 3) and preferably after clinical compensation.
first_indexed 2024-12-16T14:39:20Z
format Article
id doaj.art-7d571e1186e6478db5de3a64d6f8af9c
institution Directory Open Access Journal
issn 1665-2681
language English
last_indexed 2024-12-16T14:39:20Z
publishDate 2010-01-01
publisher Elsevier
record_format Article
series Annals of Hepatology
spelling doaj.art-7d571e1186e6478db5de3a64d6f8af9c2022-12-21T22:28:00ZengElsevierAnnals of Hepatology1665-26812010-01-019S80S83Treatment of HCV infection in patients with cirrhosisAngelo Alves de Mattos0Ângelo Zambam de Mattos1Head Professor of the Department of Gastroenterology and of the Post-Graduate Course of Hepatology of Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; President of the Latin American Association for the Study of the Liver; Correspondence and reprint request:Gastroenterologist and Post-Graduate Student in Hepatology of Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), BrazilThe treatment of patients with cirrhosis has the following purposes: to prevent the complications of the disease; to allow for the regression of cirrhosis; and to prevent reinfection in the graft in patients undergoing liver transplantation. When the sustained viral response is evaluated in patients with cirrhosis, especially in those with decompensated disease, it is noted to be lower than that of patients with chronic hepatitis, and with a higher possibility of complications of the treatment. Based on a review of the literature, we conclude that we should treat patients with compensated cirrhosis, probably also those with portal hypertension, and patients with decompensated cirrhosis only when included on the transplant list, as long as Child B with HCV genotype 2 (possibly 3) and preferably after clinical compensation.http://www.sciencedirect.com/science/article/pii/S1665268119317296CirrhosisPeginterferonHepatitis C virus
spellingShingle Angelo Alves de Mattos
Ângelo Zambam de Mattos
Treatment of HCV infection in patients with cirrhosis
Annals of Hepatology
Cirrhosis
Peginterferon
Hepatitis C virus
title Treatment of HCV infection in patients with cirrhosis
title_full Treatment of HCV infection in patients with cirrhosis
title_fullStr Treatment of HCV infection in patients with cirrhosis
title_full_unstemmed Treatment of HCV infection in patients with cirrhosis
title_short Treatment of HCV infection in patients with cirrhosis
title_sort treatment of hcv infection in patients with cirrhosis
topic Cirrhosis
Peginterferon
Hepatitis C virus
url http://www.sciencedirect.com/science/article/pii/S1665268119317296
work_keys_str_mv AT angeloalvesdemattos treatmentofhcvinfectioninpatientswithcirrhosis
AT angelozambamdemattos treatmentofhcvinfectioninpatientswithcirrhosis