Gastroenterology: Liver fibrosis — Diagnosis and conservative treatment. Treatment
Hepatic fibrosis is one of severe complications of chronic pathological processes occurring in the body. This may be a viral hepatitis, chronic intoxication, or diabetic liver damage. According to modern research, hepatic fibrosis is reversible; adequate treatment and timely elimination of factor damaging the liver, the conservative treatment leads to a positive result in 60% cases.
Examination for Hepatic Fibrosis
After the first visit to the clinic and case history collection, the patient is prescribed a set of tests:
- physical examination, including complete blood count and urinalysis, biochemical blood test, coprogram etc.;
- abdominal ultrasound;
- elastometry to determine the degree of fibrosis in liver tissue.
General Treatment Principles
The treatment of liver fibrosis is necessarily accompanied by measures aimed at treatment of the underlying disease, which is the cause of fibrosis. To restore the liver function, the patient is prescribed:
- anti-fibrotic agents;
- symptomatic therapy, eliminating the symptoms and preventing the further progression of fibrosing process.
According to indications, the drugs can be administered directly to the liver during endosonography and gastroscopy. The use of convex endoscopes allows endosonographic fine-needle injections with a high accuracy of active substance administration into the affected liver tissue.
The conservative treatment of fibrosis usually starts in the hospital where the patient is receiving invasive procedures and the required range of nursing services. After development of further recommendations on diet, lifestyle and outpatient treatment, the patient is discharged home.Hide