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Changes in liver stiffness after acute or chronic liver injury due to viral hepatitis--does fibrosis exist after recovery from acute viral hepatitis?

Authors
Kim J.H.Yim H.J.Kim S.Y.Ahn J.H.Jung Y.K.Joo M.K.Kim S.H.Kim J.H.Seo Y.S.Yeon J.E.Lee H.S.Um S.H.Lee S.W.Byun K.S.Choi J.H.Ryu H.S.
Issue Date
2009
Keywords
간섬유화스캔; 간경직도; 급성 바이러스 간염; 간섬유화; Transient elastography; Liver stiffness; Acute viral hepatitis; Fibrosis
Citation
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, v.54, no.3, pp.155 - 161
Indexed
SCOPUS
KCI
Journal Title
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume
54
Number
3
Start Page
155
End Page
161
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/16470
DOI
10.4166/kjg.2009.54.3.155
ISSN
1598-9992
Abstract
BACKGROUND/AIMS: Liver stiffness (LS) measurement by transient elastography can estimate the degrees of liver fibrosis in patients with chronic liver disease. However, longitudinal data of LS after recovery of acute viral hepatitis are still lacking. In the present study, we aimed to evaluate among LS of patients at various stages of viral hepatitis and normal control. METHODS: Patients who had admitted at Korea University Ansan Hospital between January 2006 and January 2007 due to acute viral hepatitis and recovered were recruited (group A, n=22). We compared the liver biochemistry and LS of group A with those of healthy control group (group B, n=23), current acute viral hepatitis group (group C, n=49), and chronic viral hepatitis group (group D, n=66). RESULTS: Mean ALT, total bilirubin, and LS level of group A were not different from group B (p=0.318, p=0.116, p=0.125, respectively). However, group A had lower ALT, total bilirubin, and LS values compared to group C (all p<0.001), and lower ALT and LS values compared to group D (p=0.007, p<0.001). The mean total bilirubin was not significantly different from group D (p=0.117). CONCLUSIONS: Our data suggest that liver fibrosis is a long-term sequela of chronic hepatitis, and not developed in patients who recovered from acute viral hepatitis.
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Lee, Sang Woo
안산병원 (Department of Gastroenterology and Hepatology, Ansan Hospital)
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