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Published on: May 10, 2022
Management of hepatitis C virus in the transplant patient
1Universidad de Medicina, Hospital Universitario La Fe, Servicio de Medicina Digestiva, Ciberehd, Avda Campanar 21, Valencia, 46009 Spain. mbhaym@teleline.es
Insights
Hepatitis C virus (HCV) infection often recurs after liver transplants, leading to chronic hepatitis. However, new antiviral therapies offer a cure for many transplant recipients, improving outcomes.
Area of Science:
- Hepatology
- Virology
- Transplant Medicine
Background:
- Hepatitis C virus (HCV) infection affects 170-190 million globally, causing chronic hepatitis.
- Liver transplantation is the standard treatment for HCV-related cirrhosis and hepatocellular carcinoma.
- HCV recurrence post-transplantation is nearly universal, leading to graft dysfunction.
Purpose of the Study:
- To review current strategies for improving outcomes in liver transplant recipients with HCV.
- To discuss factors influencing disease progression and the effectiveness of antiviral treatments.
Main Methods:
- Literature review of studies on HCV recurrence and treatment post-liver transplantation.
- Analysis of factors impacting disease progression and antiviral efficacy.
Main Results:
- HCV infection can now be cured in a significant number of liver transplant recipients.
- Management strategies focus on modifying disease progression factors and optimizing antiviral therapy.
Conclusions:
- Effective management and antiviral therapies can improve outcomes for HCV-infected liver transplant recipients.
- Further research into optimizing treatment protocols is warranted.
Abstract:
Hepatitis C virus (HCV) is a leading cause of chronic hepatitis, with 170 to 190 million people infected worldwide. The treatment of choice for patients who have HCV-related cirrhosis with or without hepatocellular carcinoma is liver transplantation. Virologic recurrence is constant after transplantation and results in chronic hepatitis in the vast majority. HCV infection now can be cured in a substantial proportion of liver transplant recipients. This review highlights the available strategies to improve outcome, including modification of factors that affect disease progression and the efficacy of antiviral therapy.
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