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2013, Number 5

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Ann Hepatol 2013; 12 (5)

Liver stiffness measurements increase after meal ingestion – an important step towards standardization

Tsochatzis EA, Burroughs AK
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Language: English
References: 9
Page: 839-840
PDF size: 61.20 Kb.


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Comment
Transient elastogaphy (Fibroscan) is increasingly used in clinical practice for the non-invasive assessment of liver fibrosis, particularly in patients with chronic hepatitis C (CHC). When the technique was first described 10 years ago, the manufacturing company recommended criteria for reliable results, which included 10 valid measurements with a success rate of at least 60% and an interquartile range between median measurement values of less than 30%. Surprisingly, these criteria were met in only 21/40 transient elastography studies included in a metaanalysis.


REFERENCES

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  2. Vizzutti F, Arena U, Romanelli RG, Rega L, Foschi M, Colagrande S, Petrarca A, et al. Liver stiffness measurement predicts severe portal hypertension in patients with HCVrelated cirrhosis. Hepatology 2007; 45: 1290-7.

  3. Mederacke I, Wursthorn K, Kirschner J, Rifai K, Manns MP, Wedemeyer H, Bahr MJ. Food intake increases liver stiffness in patients with chronic or resolved hepatitis C virus infection. Liver international 2009; 29: 1500-6.

  4. Arena U, Platon ML, Stasi C, Moscarella S, Assarat A, Bedogni G, Piazzolla V, et al. Liver stiffness is influenced by a standardized meal in patients with chronic hepatitis C virus at different stages of fibrotic evolution. Hepatology 2013; 58: 65-72.

  5. Berzigotti A, De Gottardi A, Vukotic R, Siramolpiwat S, Abraldes JG, García-Pagan JC, Bosch J. Effect of meal ingestion on liver stiffness in patients with cirrhosis and portal hypertension. PloS one 2013; 8: e58742.

  6. Yin M, Talwalkar JA, Glaser KJ, Venkatesh SK, Chen J, Manduca A, Ehman RL. Dynamic postprandial hepatic stiffness augmentation assessed with MR elastography in patients with chronic liver disease. AJR Am J Roentgenol 2011; 197: 64-70.

  7. Tsochatzis EA, Manousou P, Fede G, Dhillon AP, Burroughs AK. Validating non-invasive markers of fibrosis: the need for a new histological reference standard. Gut 2011; 60: 1442-3.

  8. Tsochatzis EA, Germani G, Hall A, Anousou PM, Dhillon AP, Burroughs AK. Noninvasive assessment of liver fibrosis: the need for better validation. Hepatology 2011; 53: 1781-2.

  9. Isgro G, Calvaruso V, Andreana L, Luong TV, Garcovich M, Manousou P, Alibrandi A, et al. The relationship between transient elastography and histological collagen proportionate area for assessing fibrosis in chronic viral hepatitis. J Gastroenterol 2012 [Epub ahead of print]. DOI: 10.1007/s00535-012-0694-9.




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Ann Hepatol. 2013;12