alexa
Reach Us +44-176-4910199
Updates On Chronic Hepatitis B: Initiation Of Medical Therapy | 29423
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Updates on chronic Hepatitis B: Initiation of medical therapy

4th International Conference on Gastroenterology

Na Li

ScientificTracks Abstracts: J Gastrointest Dig Syst

DOI: 10.4172/2161-069X.S1.025

Abstract
Hepatitis B virus (HBV) infection is a global epidemic with estimated mortality 0.5-1.2 million deaths a year. Long-term goal of treatment on patients with chronic hepatitis B infection (CHB) is to reduce cirrhosis, hepatocellular carcinoma, and ultimately improve survival.The decision on initiating viral therapy can be complex because not all the patients with CHB derive significant clinical benefits from current medical therapies. Elevated HBV DNA level is a strong independent risk predictor of liver-related disease outcomes. Up to date, many studies have demonstrated improved clinical outcomes with successful viral suppression in CHB patients.Hepatic disease activity, assessed by histology and less accurately by alanine aminotransferase (ALT), is another major decision-making factor on initiating anti-viral therapy in patients with CHB. As in immune tolerance phase of CHB, characterized by high HBV DNA level, normal ALT, and no/minimal hepatic inflammation, disease progression is negligible.Treatment on these patients is therefore unlikely to alter long-term clinical outcomes. However, close monitoring of ALT level is highly recommended during immune tolerant phase astransition to immune clearance phase may occur. Anti-viral therapy is often required during immune clearance phase due to rapid disease progression.In patients with low HBV DNA and normal ALT, as seen in inactive carrier, medical therapy is typically not beneficial in long-term out comes due to minimal risk of developing hepatic complications.
Biography
Na Li had her PhD training at University of Louisville, USA. She then completed her Gastroenterology and Hepatology training at North Shore LIJ Medical Center. She worked with a renowned Hepatologist David Bernstein and developed strong clinical interests on viral hepatitis and metabolic liver disease. She is currently a Clinical Assistant Professor at Ohio State University. She looks forward to conducting more clinical studies on these hepatology fields and collaborating with field experts.
Top