Causes and management of chronic hepatitis C in treatment experienced patients

被引:0
作者
Beltsis, A. [1 ]
Ilias, A. [1 ]
机构
[1] G Papanikolaou Hosp, Dept Gastroenterol, Thessaloniki, Greece
来源
ANNALS OF GASTROENTEROLOGY | 2009年 / 22卷 / 04期
关键词
Hepatitis C Virus; Pegylated(PEG)-interferon + ribavirin treatment; Consensus Interferon; Difficult-to-treat; Re-lapsers; Non-Responders;
D O I
暂无
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Chronic Hepatitis C is a major public health issue, affecting >2% of the worlds population. Combination treatment with pegylated interferon alfa and ribavirin is successful in achieving long-term viral suppression in about 50% of patients. The ever-growing population of relapsers and non-responders to PEG-IFN + ribavirin poses a difficult clinical problem. We investigate the causes of treatment failure, whether virus-related (HCV genotype, quasispecies diversity and viral load) or host-related (age, sex, race, fibrosis/cirrhosis, obesity and insulin resistance) and review the results of recently published trials on the treatment of relapsers and non-responders to PEG-IFN + ribavirin, focusing on the prognostic value of week 12 HCV-RNA measurements.
引用
收藏
页码:248 / 254
页数:7
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