丙肝相关腹水的自然进程.pdf

Journal of Hepatology 40 (2004) 823–830 /locate/jhep Natural history of decompensated hepatitis C virus-related cirrhosis. A study of 200 patientsq 1,* ´ ´2 ´ 1 2 1 Ramon Planas , Belen Balleste , Marco Antonio Alvarez , Monica Rivera , Silvia Montoliu , Josep Anton Galeras2 1 2 1 `2 , Justiniano Santos , Susanna Coll , Rosa Maria Morillas , Ricard Sola 1 ´ Department of Gastroenterology, Hospital Universitari Germans Trias i Pujol, Universitat Autonoma de Barcelona, Badalona, Spain 2 ´ Liver Section, Hospital del Mar, Universitat Autonoma de Barcelona, Barcelona, Spain Background/Aims : Since few data are available concerning the clinical course of decompensated hepatitis C virus (HCV)-related cirrhosis, the aim of the present study was to define the natural long-term course after the first hepatic decompensation. Methods : Cohort of 200 consecutive patients with HCV-related cirrhosis, and without known hepatocellular carcinoma (HCC), hospitalized for the first hepatic decompensation. Results : Ascites was the most frequent first decompensation (48%), followed by portal hypertensive gastrointestinal bleeding (PHGB) (32.5%), severe bacterial infection (BI) (