Hepatitis C
Return To SinoMed Main
Information presented on this website is for educational purposes only.
Materials presented have not been evaluated by the U.S. Food & Drug Administration and are not meant as a replacement or substitute for professional medical diagnosis and treatment. Visitors are advised to seek professional medical care for any any disease or illness.
 


 

 

Articles by
Dr. Zhang
 
TCM and MCM Theory Related to Common Liver Disease Blood Test Markers

Low Dose Interferon Patient Experiment

Hepatitis A Prevention Reminder

Hepatitis: Causes of Pain in Liver Region 

The Need to Monitor Your Chronic Hepatitis

Liver Enzyme Fluctuation during Allergy Season 

What are the Serum Markers of Hepatitis B and What do They Mean?

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 2

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 1
 

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy -
Part 2

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy
Part 1

What Causes Gastrointestinal Bleeding in Cirrhotic Liver Disease

Dietary Support for Cirrhotic Liver Diseases

Ascites - A Complication of De-Compensated Liver Cirrhosis

Liver Cirrhosis - Portal Vein Hypertension Complications

Liver Cirrhosis Overview

PG-IFN and Ribavirin Treatments

Antibiotics and Chronic Liver Diseases

Why is Alcohol Harmful for People with Hepatitis?

Co-infections and Super-infections of Viral Hepatitis

Beware of Medications That Can Cause Liver Damage

Bile Retention and Its Clinical Manifestations (MCM) part 4

Modern Chinese Medicine (MCM) Part 3 
Jaundice and Chronic Viral Hepatitis

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 2

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 1

What is Liver Fibrosis and How is It Different from Cirrhosis?

How does the liver change as we get older?

How is that my LFTs are so good when my viral load is seemly so high?

Comprehensive Care for Chronic Viral Hepatitis

What can Cause Liver Inflammation?  

What Are the Major Functions that the Liver Carries?


 

Liver Biopsy
Overview

Liver biopsy is an important diagnostic tool in assessing the nature and severity of liver disease. Liver biopsy provides information concerning: 

-the cause of the liver damage
-the degree of ongoing liver injury
-the extent of chronic liver damage

Liver biopsy provides the clinician with confirmation of the diagnosis of hepatitis C, as well as a determination of the amount of inflammation and fibrosis. In HCV infection, there is a poor correlation between symptoms or levels of alanine aminotransferase and histologic features of the liver. Thus, patients with HCV infection may have normal levels of liver enzymes and have significant fibrosis on biopsy. Conversely, patients may also have elevated serum ALT and trivial liver disease.(1)

Risks

Liver biopsy carries a small risk of complications. If performed correctly, most patients do not feel pain during the biopsy. Some of the risks include the following:

-Bleeding requiring transfusion in less than one per thousand biopsies
-surgery in less than per thousand biopsies
-Penetration of other organs such as lung, kidney, gallbladder, intestine
-Fatality in less than one per ten thousand biopsies

Because of the small risk of complications, liver biopsy should only be performed when the information will be useful for optimal patient care and only after written informed consent has been obtained. In hepatitis C, this would include prior to starting HCV treatment and determination of the extent of liver damage, particularly in patients with persistent, significant elevations in ALT


References:
http://hepatitis.va.gov/vahep?page=tp03-01-02-01

Bravo AA, Sheth SG, Chopra S. Current Concepts: Liver Biopsy. N Engl J Medicine 2001; 344(7):495-500.

Ibid., 498 (table 2).

Batts KP, Ludwig J. Chronic hepatitis. An update on terminology and reporting. Am J Surg Pathol 1995;19(12): 1409-17.
 

Return Home
About HCV
Overview
Causes and Transmission

 
Diagnostic Tests
Antibody
HCV RIBA
HCV RNA 
Viral Load

Viral Genotyping

 
Major Signs
Liver Inflammation
Fibrosis
Cirrhosis

 
Peripheral Signs and Symptoms
Fatigue
Jaundice
Bile Retention
Joint Pains and Skin Rashes
Blood Sugar Instability
Portal Vein Hypertension
Ascites

 
Important Liver Function Test Markers
Overview
ALT and AST
ALP and GGT
Albumin
Bilirubin
PT (Prothrombin Time)
 
Liver Biopsy
Overview
Procedure
Inflammation Grade
Fibrosis Stage
 
Interferon Based Treatment
Overview
Ideal Candidate
Possible Side-effects
 
Liver Support with TCM
Overview
Liver Enzymes
Serum Albumin
Blood Clotting Factors
Bile metabolism
GGT
 
Dietary Considerations
Overview
Proteins
Essential Fats
Carbohydrates
Vitamins
 
 

 


 

 

Medical Information Sources:
http://www.nih.gov/
http://www.nlm.nih.gov/

http://nccam.nih.gov/
http://www.medlineplus.org/


Contact the Webmaster

Copyright © 2005 Sinomed Research Institute®