Clinical Dilemmas in Viral Liver Disease is a practicalup-to-date handbook providing answers to the questions andchallenges that arise in day-to-day practice. Each short chapter addresses a different topic and providesevidence-based guidance on subjects ranging from optimizing currentmanagement through to special management problems and noveltreatments. This book is suitable for all medical professionals involved inthe care of patients with viral liver disease: established andtrainee hepatologists, pediatric hepatologists, pathologists,radiologists, transplant surgeons and nurse specialists
Graham R Foster PhD FRCP Professor of Hepatology, Queen Marys University of London, Blizard Institute of Cell & Molecular Science, The Royal London Hospital, London, UK K. Rajender Reddy MD, FACP, FACG, FRCP Professor of Medicine, Professor of Medicine in Surgery, Director of Hepatology, Medical Director of Liver Transplantation, University of Pennsylvania, PA, USA
Investigating the liver Non-invasive markers of fibrosis - useful or useless? Liver biopsy in HCV with easy to treat disease - should webother? The inactive carrier - what tests should we do for HBeAgnegative patients with minimal HBV DNA and near normal LFTs? Screening for HCC in patients with viral cirrhosis - isultrasound enough ? HBV pre-treatment sequencing. Prudent precaution or unnecessaryluxury? Genomic investigations in viral hepatitis - likely to help orhinder? Today's therapies i) HCV How should HCV Genotype 1 Non-responders be managed? How should HCV Genotype 1 patients who relapse or breakthroughbe managed? How should HCV Genotype 2/3 Non-responders be managed? How should HCV Genotype 2/3 patients who relapse or breakthroughbe managed? How should we treat acute HCV infection? How should we treat HCV in patients with red celldyscrasias? How should we treat HCV in dialysis patients? How should we treat HCV in patients with a renal transplant? How should we treat HCV in psychotic patients? What management strategies can we use for morbid obesity andHCV? What management strategies are appropriate for Cytopenias andhepatitis C? How should patients with multiple HCV genotypes be managed? How should we treat HCV in injecting drug users? How should we treat HIC and HCV/HBV? How should we treat HCV, anti LKM antibodies and autoimmunedisorders? How should we manage an easy to treat virus in difficultpatients? -HCV in obese cirrhotics with genotype 3 How should we treat HCV in children? Controlling symptoms in chronic HCV ON AND OFF TREATMENT - doesanything work ? Complementary therapies in chronic HCV - exploitation orsomething to offer ? HCV in the post liver transplant patient: what options do wehave? How should we manage viral hepatitis in bone marrow transplantpatients? ii) HBV What's the best way to manage acute HBV? How should we manage HBeAg positive patients with near normalLFTs? How should we manage HBeAg negative patients with minimalchanges on liver biopsy? HBV combination therapy ab initio or add in regimes? How should we manage HBV infection in children? HBV and the second pregnancy - what should we do when the firstchild has failed to respond to vaccination? How should HBV in surgeons be managed? What can we do about HBV and the poorly compliant patient? How can we manage acute liver failure and HBV? High risk needlestick injuries in vaccine failures? How best to manage HBV in the immunocompromised patient? What can we do in Lamivudine and Adefovir resistance? How do we manage HBV following unsuccessful interferontherapy? How do we manage co-infection with HBV and HCV? iii) HDV HDV Clinical set up What is the role of the nurse specialist? Non specialist management of viral liver disease - costeffective or foolish cost cutting? The future Clinical trial design in chronic HCV - with or without PegIFNand ribavirin? Protease and polymerase inhibitors for HCV HCV vaccines - coming soon? HBV - new nucleotides and nucleosides - can we expect anymore? HBV novel drugs: what's in the pipeline? HBV - therapeutic vaccines - hope or hype ? Novel interferons - is there life in the old dog yet? On-going controversies i) HBV therapy Is Interferon a valuable first line therapy for HBeAg positiveHBV? Should nucleosides always be used first in HBeAg positiveHBV? ii) HCV Will most patients with HCV die from their disease?