Treatment of hepatitis C before and after liver transplantation

被引:1
作者
Liovet, Laura-Patricia [1 ]
Rodriguez-Tajesy, Sergio [1 ]
Londono, Maria-Carlota [1 ]
机构
[1] Hosp Clin Barcelona, CIBEREHD, IDIBAPS, Serv Hepatol, Barcelona, Spain
来源
GASTROENTEROLOGIA Y HEPATOLOGIA | 2016年 / 39卷 / 05期
关键词
Liver transplantation; Hepatitis C; Direct antiviral agents; HCV INFECTION; GENOTYPE; DECOMPENSATED CIRRHOSIS; VIROLOGICAL RESPONSE; FIBROSIS PROGRESSION; SOFOSBUVIR; RIBAVIRIN; RECURRENCE; DACLATASVIR; MULTICENTER;
D O I
10.1016/j.gastrohep.2015.09.002
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Hepatitis C recurrence after liver transplantation is universal and increases morbidity and mortality in these patients. The development of new direct antiviral agents against the hepatitis C virus is a major treatment advance. Pre-transplant treatment avoids graft infection and sometimes improves liver function, allowing the patient to be withdrawn from the transplant waiting list. Delaying treatment until the postpostransplant period may be advisable in patients with advanced cirrhosis. Generally, antiviral therapy after liver transplantation is provided in patients with histological evidence of the disease. In these patients, treatment is more effective in the initial stages of the disease. The choice of antiviral therapy in these patients is based on the degree of liver function, the presence of renal failure, and potential drug-drug interactions. (C) 2015 Elsevier Espana, S.L.U. and AEEH y AEG. All rights reserved.
引用
收藏
页码:344 / 351
页数:8
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