001). LF index (odds ratio [OR] = 5.3, 95% confidence interval [CI] = 2.2–13.0) and platelet count (OR = 0.78, 95% CI = 0.68–0.89) were independently associated with the presence of advanced fibrosis (F3–4). Further, LF index was independently associated with the presence of minimal fibrosis (F0–1) (OR = 0.25, 95% selleck chemicals llc CI = 0.11–0.55). The area under the receiver–operator curve (AUROC) of LF index for predicting

advanced fibrosis (0.84) was superior to platelets (0.82), FIB-4 index (0.80) and aspartate aminotransferase/platelet ratio index (APRI) (0.76). AUROC of LF index (0.81) was superior to platelets (0.73), FIB-4 index (0.79) and APRI (0.78) in predicting minimal fibrosis. LF index calculated by RTE is useful for predicting liver fibrosis, and diagnostic accuracy

of LF index Akt inhibitor is superior to serum fibrosis markers. “
“Background and Aim:  To evaluate hepatic hemodynamics in patients with nodular regenerative hyperplasia of the liver (NRH) with portal hypertension (PHT). Methods:  We retrospectively reviewed the charts of 24 patients referred for PHT related to biopsy-proven NRH. Hemodynamic measurements included wedged hepatic vein (WHVP) and inferior vena cava (IVCP), and, in 12 patients, portal vein pressure (PVP). Hepatic vein pressure gradient (HVPG: WHVP–IVCP) and portal vein pressure gradient (PVPG: PVP–IVCP) were calculated. Results:  Nodular regenerative hyperplasia was associated in 24 patients with various diseases (oxaliplatin chemotherapy, treatment with purine antagonists, post liver transplantation, hematologic and rheumatologic conditions and HIV infection). Liver function parameters were either completely normal or slightly impaired. Patients were referred for gastroesophageal varices (n = 18), and/or ascites (n = 11), and/or splenomegaly (n = 20). In patients with varices or ascites, HVPG was lower than 10 mmHg (a cut-off point for the presence of varices and/or ascites) in 15/21, suggesting a

pre-sinusoidal component to their PHT confirmed by a PVP higher than 12 mmHg in 12/12 patients. The mean difference between HVPG and PVPG was 8.7 mmHg in these patients. Ten patients were treated by transjugular intrahepatic portosystemic check details shunt. None of them re-bled, and one presented transient hepatic encephalopathy. Conclusions:  Presinusoidal PHT associated with NRH is probably related to compression of portal venules by the regenerative nodules. In patients with HTP and a HVPG < 10 mmHg, the diagnosis of NRH must be suspected and PVP measured, which is important in the management of these patients. "
“Liver biopsy remains an important tool in clinical practice. It should be performed by trained physicians who are able to do the biopsy and manage any possible complications that may arise after the procedure. Liver biopsy can be performed percutaneously, transvenously, or laparoscopically. The choice between the different options depends on the individual patient and local practice.