Abstract

Liver fibrosis is reversible by immune treatments in the early stages of cirrhosis development, but not in later stages. At present, the value of the markers for indicating an increased risk of cir...

Highlights

  • Hepatitis B virus (HBV) infection is a public health challenge

  • The long-term consequences of HBV infection include the evolution of liver fibrosis (LF) and liver cirrhosis (LC)

  • The mean difference (MD) and their 95% confidence interval (CI) for serum fibrosis markers are shown in Figures 2 and 3

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Summary

Introduction

About 360 million people are chronically infected with HBV worldwide, including up to 30 million living in China (Jury, 2003; Liang, Chen, & Wang et al, 2005). The long-term consequences of HBV infection include the evolution of liver fibrosis (LF) and liver cirrhosis (LC). The 1-year cumulative incidence of LC in chronic HBV infection is estimated to be 2.1–6% (Chu & Liaw, 2006). Five-year survival with compensated LC is 80–86%, but it is only 14–30% with decompensated LC. The 1-year cumulative incidence of decompensation has been estimated as 10% (de Jongh et al, 1992; Fattovich et al, 2002; Schuppan & Afdhal, 2008). The previous research has revealed that fibrosis is reversible in the early stages of cirrhosis development, but not in later stages (Friedman & Bansal, 2006)

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