A case of Child-Pugh class B cirrhosis in hepatitis C infection successfully treated with interferon beta after balloon-occluded retrograde transvenous obliteration for gastric varices

  • Sato Akira
    Division of Gastroenterology, Saint Marianna University Yokohama City Seibu Hospital
  • Adachi Kayo
    Division of Gastroenterology, Saint Marianna University Yokohama City Seibu Hospital
  • Ishii Toshiya
    Division of Gastroenterology, Saint Marianna University Yokohama City Seibu Hospital
  • Yamaguchi Masayo
    Division of Gastroenterology, Saint Marianna University Yokohama City Seibu Hospital
  • Kobayashi Mika
    Division of Gastroenterology, Saint Marianna University Yokohama City Seibu Hospital
  • Hayashi Mikihito
    Division of Gastroenterology, Saint Marianna University Yokohama City Seibu Hospital
  • Tabashi Miyako
    Division of Gastroenterology, Saint Marianna University Yokohama City Seibu Hospital
  • Nomoto Masahito
    Division of Gastroenterology, Saint Marianna University Yokohama City Seibu Hospital
  • Nikai Akira
    Division of Gastroenterology, Saint Marianna University Yokohama City Seibu Hospital

Bibliographic Information

Other Title
  • 胃静脈瘤の治療後にインターフェロン療法を施行し著効が得られたChild-Pugh class BのC型肝硬変の1例
  • 症例報告 胃静脈瘤の治療後にインターフェロン療法を施行し著効が得られたChild-Pugh class BのC型肝硬変の1例
  • ショウレイ ホウコク イ ジョウミャクリュウ ノ チリョウゴ ニ インターフェロン リョウホウ オ シコウシ チョコウ ガ エラレタ Child Pugh class B ノ Cガタ カンコウヘン ノ 1レイ

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Abstract

Sustained virological response was achieved by interferon beta treatment in a case of hepatitis C virus (HCV) cirrhosis with a Child-Pugh score of 8 and gastric varices. A 52-year-old man with cirrhosis due to HCV-genotype 2a and low viral load underwent balloon-occluded retrograde transvenous obliteration for F3 gastric varices. Although mild jaundice remained, his percent prothrombin time improved from 55.3% to more than 70% after treatment, and he was given interferon beta for 32 weeks. One year after interferon treatment, serum HCV-RNA is negative and Child-Pugh score has decreased to 5 as a result of improved jaundice. Interferon therapy should be considered, even in patients with advanced HCV cirrhosis and portal hypertension, if the patient has HCV-genotype 2 and low viral load.<br>

Journal

  • Kanzo

    Kanzo 49 (7), 307-313, 2008

    The Japan Society of Hepatology

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