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Cardiac surgery in patients with liver cirrhosis

Researchers found that hospital mortality increased significantly according to the Child-Pugh classification, with a mortality rate of 10 percent for those with class A, 18 percent for those with class B, and 67 percent for those with class C. Postoperative complications were also higher in class B and C than in class A.

SourceWiley·JournalLiver Transplantation·DateJul 3, 2007

Numerous factors affect success of interferon treatment for hepatitis C

A new study analyzed predictors of sustained virologic response (SVR) in patients with hepatitis C virus (HCV) infection. The results identified several independent factors that impact SVR, including low levels of HCV in the blood, absence of cirrhosis, and genotype other than genotype 1. Patients treated with pegylated interferon alfa...

SourceWiley·JournalHepatology·DateJul 2, 2007

JCI table of contents: June 14, 2007

Researchers found that TRAIL limits inflammation and brain cell death in bacterial meningitis by regulating the host immune response. In contrast, mice lacking TRAIL exhibited increased inflammation and brain cell death, which was reversed by administering recombinant TRAIL.

SourceJCI Journals·JournalJournal of Clinical Investigation·DateJun 14, 2007

Postoperative complications of living right liver donors

A recent study published in Liver Transplantation found that more than 78 percent of living right liver donors experienced post-operative complications, with most being minor but some life-threatening. The modified Clavien system was used to classify the severity of complications, with Grade I being minor and Grade V resulting in death.

SourceWiley·JournalLiver Transplantation·DateJun 4, 2007

When HIV and liver disease co-exist

The co-infection of HIV and viral hepatitis is a growing concern, with recent studies showing increasing rates of liver disease and related deaths among those with HIV. Hepatologists are discussing the best approaches to treating these patients, including the use of new agents and consideration of liver transplantation.

SourceWiley·JournalHepatology·DateJun 1, 2007

JCI table of contents: May 24, 2007

A study by Arlette Darfeuille-Michaud and colleagues reveals that CEACAM6 expression promotes adherent-invasive E. coli's colonization in intestinal epithelial cells of patients with Crohn's disease, indicating a potential diagnostic marker for the condition. Meanwhile, another study by Andrea Hevener and colleagues shows that macropha...

SourceJCI Journals·JournalJournal of Clinical Investigation·DateMay 24, 2007

HCV patients survival after liver transplantation is not improving

A study of HCV patients post-liver transplantation reveals stagnant survival rates, contrasting with improving outcomes for non-HCV recipients. Researchers analyzed a large sample of US liver transplant data between 1991 and 2001, finding HCV patients had lower 3-year survival rates and no improvement in survival over time.

SourceWiley·JournalLiver Transplantation·DateMay 2, 2007

Liver stiffness indicates portal hypertension

A study found that liver stiffness measurement by transient elastography can predict severe portal hypertension in patients with hepatitis C-related cirrhosis. The technique is less invasive than traditional methods like HVPG measurement and shows promise for non-invasive diagnosis.

SourceWiley·JournalHepatology·DateMay 1, 2007

Liver regeneration may be simpler than previously thought

Researchers have discovered that liver regeneration is driven by an increase in cell multiplication through regular cell divisions, rather than relying on embryonic-like processes. This finding could lead to more effective ways to stimulate liver growth and potentially improve treatment options for patients with liver diseases.

SourceAmerican Society for Biochemistry and Molecular Biology·JournalJournal of Biological Chemistry·DateApr 11, 2007

Working up potential living liver donors

A 4-step process can be completed quickly and efficiently to assess potential living liver donors. Despite challenges, the process results in a significant proportion of donors undergoing successful transplantation, emphasizing the importance of careful workup and informed consent.

SourceWiley·JournalLiver Transplantation·DateApr 3, 2007

Outcomes for patients with hepatitis B who need liver transplants

The study found that survival rates for patients with hepatitis B who need liver transplants are similar between those with and without hepatocellular carcinoma (HCC). Despite the higher likelihood of transplantation, 5-year survival rates were comparable between the two groups. The findings suggest that antiviral therapy may have bene...

SourceWiley·JournalLiver Transplantation·DateMar 2, 2007

Improving quality of life for patients with cirrhosis

A study found that lactulose improved cognitive function and health-related quality-of-life in patients with minimal hepatic encephalopathy, a condition associated with advanced liver disease. The treatment showed significant improvement in emotional behavior, movement, mobility, sleep/rest, and recreational activities.

SourceWiley·JournalHepatology·DateMar 1, 2007

Lessons learned from liver retransplantation

A 15-year study on liver retransplantation found positive trends in indications for surgery, fewer rejections and complications, and improved intensive care management. Therapeutic measures such as immunosuppressant dosage reduction and early blood transfusions contributed to better patient survival rates.

SourceWiley·JournalLiver Transplantation·DateFeb 2, 2007

A new index for measuring liver fibrosis

A new study found that a series of simple blood tests can accurately diagnose liver fibrosis in patients with chronic hepatitis C. The FibroIndex was more accurate than two other indices and showed promise as a non-invasive alternative to liver biopsy.

SourceWiley·JournalHepatology·DateFeb 1, 2007

Weight-loss supplement shows good and bad traits

Researchers studying mice and rats found that CLA supplementation led to rapid weight loss in mice but excessive liver fat accumulation, a common side effect of rapid weight loss. In contrast, rats on a CLA-supplemented diet showed decreased insulin resistance despite not losing weight.

SourceOhio State University·JournalJournal of Lipid Research·DateJan 30, 2007

Risk factors for diabetes following liver transplant

A study found that liver transplant patients with a history of obesity, impaired fasting glucose, and hepatitis C infection are at increased risk of developing new-onset diabetes mellitus. The risk factors also include the use of certain immunosuppressants and cardiovascular risk factors.

SourceWiley·JournalLiver Transplantation·DateJan 4, 2007

Pure carbon nanotubes pass first in vivo test

Researchers at Rice University and The University of Texas M. D. Anderson Cancer Center found that carbon nanotubes injected into lab animals cause no immediate harm and circulate in the blood and liver for over an hour before being eliminated. The study provides promising results for biomedical applications of carbon nanotubes.

SourceRice University·JournalProceedings of the National Academy of Sciences·DateNov 27, 2006

Predicting survival after liver transplant

Researchers developed a new model to predict survival after liver transplantation, considering specific characteristics of donors and recipients. The model identified key factors impacting graft survival, including donor age and recipient MELD score.

SourceWiley·JournalLiver Transplantation·DateNov 2, 2006