Cirrhosis screening: Difference between revisions
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==Overview== | ==Overview== | ||
Screening for [[Hepatocellular carcinoma|HCC]] must be done in every cirrhotic patient. It is performed at a frequency of 6-12 months. Screening [[endoscopy]] for detection of [[esophageal varices]] must be performed at regular intervals in all patients. | Screening for hepatocellular carcinoma ([[Hepatocellular carcinoma|HCC]]) must be done in every cirrhotic patient. It is performed at a frequency of 6-12 months. [[Screening (medicine)|Screening]] [[endoscopy]] for detection of [[esophageal varices]] must be performed at regular intervals in all patients. | ||
==Screening== | ==Screening== | ||
*Patients with cirrhosis must undergo screening for [[Hepatocellular carcinoma|HCC]] every 6-12 months. | *Patients with cirrhosis must undergo screening for [[hepatocellular carcinoma]] ([[Hepatocellular carcinoma|HCC]]) every 6-12 months.<ref name="urlCirrhosis: Diagnosis, Management, and Prevention - American Family Physician">{{cite web |url=https://www.aafp.org/afp/2011/1215/p1353.html |title=Cirrhosis: Diagnosis, Management, and Prevention - American Family Physician |format= |work= |accessdate=}}</ref><ref name="pmid17617210">{{cite journal |vauthors=Trevisani F, Santi V, Gramenzi A, Di Nolfo MA, Del Poggio P, Benvegnù L, Rapaccini G, Farinati F, Zoli M, Borzio F, Giannini EG, Caturelli E, Bernardi M |title=Surveillance for early diagnosis of hepatocellular carcinoma: is it effective in intermediate/advanced cirrhosis? |journal=Am. J. Gastroenterol. |volume=102 |issue=11 |pages=2448–57; quiz 2458 |year=2007 |pmid=17617210 |doi=10.1111/j.1572-0241.2007.01395.x |url=}}</ref> | ||
*Screening [[endoscopy]] for detection of [[esophageal varices]] must be performed: | *[[Screening (medicine)|Screening]] [[endoscopy]] for detection of [[esophageal varices]] must be performed:<ref name="pmid16970019">{{cite journal |vauthors=Heidelbaugh JJ, Bruderly M |title=Cirrhosis and chronic liver failure: part I. Diagnosis and evaluation |journal=Am Fam Physician |volume=74 |issue=5 |pages=756–62 |year=2006 |pmid=16970019 |doi= |url=}}</ref><ref name="pmid16246673">{{cite journal |vauthors=Qureshi W, Adler DG, Davila R, Egan J, Hirota W, Leighton J, Rajan E, Zuckerman MJ, Fanelli R, Wheeler-Harbaugh J, Baron TH, Faigel DO |title=ASGE Guideline: the role of endoscopy in the management of variceal hemorrhage, updated July 2005 |journal=Gastrointest. Endosc. |volume=62 |issue=5 |pages=651–5 |year=2005 |pmid=16246673 |doi=10.1016/j.gie.2005.07.031 |url=}}</ref> | ||
**Within a year in case of compensated cirrhosis | **Within a year in case of compensated cirrhosis | ||
**Within three months in case of complicated cirrhosis | **Within three months in case of complicated cirrhosis | ||
Latest revision as of 18:26, 27 December 2017
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Cirrhosis screening On the Web |
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American Roentgen Ray Society Images of Cirrhosis screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]
Overview
Screening for hepatocellular carcinoma (HCC) must be done in every cirrhotic patient. It is performed at a frequency of 6-12 months. Screening endoscopy for detection of esophageal varices must be performed at regular intervals in all patients.
Screening
- Patients with cirrhosis must undergo screening for hepatocellular carcinoma (HCC) every 6-12 months.[1][2]
- Screening endoscopy for detection of esophageal varices must be performed:[3][4]
- Within a year in case of compensated cirrhosis
- Within three months in case of complicated cirrhosis
References
- ↑ "Cirrhosis: Diagnosis, Management, and Prevention - American Family Physician".
- ↑ Trevisani F, Santi V, Gramenzi A, Di Nolfo MA, Del Poggio P, Benvegnù L, Rapaccini G, Farinati F, Zoli M, Borzio F, Giannini EG, Caturelli E, Bernardi M (2007). "Surveillance for early diagnosis of hepatocellular carcinoma: is it effective in intermediate/advanced cirrhosis?". Am. J. Gastroenterol. 102 (11): 2448–57, quiz 2458. doi:10.1111/j.1572-0241.2007.01395.x. PMID 17617210.
- ↑ Heidelbaugh JJ, Bruderly M (2006). "Cirrhosis and chronic liver failure: part I. Diagnosis and evaluation". Am Fam Physician. 74 (5): 756–62. PMID 16970019.
- ↑ Qureshi W, Adler DG, Davila R, Egan J, Hirota W, Leighton J, Rajan E, Zuckerman MJ, Fanelli R, Wheeler-Harbaugh J, Baron TH, Faigel DO (2005). "ASGE Guideline: the role of endoscopy in the management of variceal hemorrhage, updated July 2005". Gastrointest. Endosc. 62 (5): 651–5. doi:10.1016/j.gie.2005.07.031. PMID 16246673.