中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

2016 No. 9

Display Method:
Editorial
A new understanding of etiological treatment in patients with severe viral hepatitis
Wang YuMing
2016, 32(9): 1637-1643. DOI: 10.3969/j.issn.1001-5256.2016.09.002
Abstract:

Severe viral hepatitis has a various etiology,which varies greatly among different regions. Hepatitis B and hepatitis C are commonly seen in China. It has been proved that antiviral therapy has great significance in HBV- related severe liver disease,and they often need long- term or lifetime medicat...

Therapeutic guidelines
Updated key points and clinical pathway for NCCN clinical practice guidelines in oncology: hepatobiliary cancers(Version2.2016)
Zhu Peng, Wang YuMing
2016, 32(9): 1644-1652. DOI: 10.3969/j.issn.1001-5256.2016.09.003
Abstract(2340) PDF (898KB)(544)
Abstract:
An excerpt of KASL clinical practice guidelines: management of chronic hepatitis B (2016)
Li Juan, Xu BaiGuo, Han Tao
2016, 32(9): 1653-1658. DOI: 10.3969/j.issn.1001-5256.2016.09.004
Abstract:
An excerpt of the Japanese Society of Gastroenterology of evidence-based clinical practice guidelines for liver cirrhosis(2015)
Zhang Hong, Han Jing, Zhang XiaoLan
2016, 32(9): 1659-1663. DOI: 10.3969/j.issn.1001-5256.2016.09.005
Abstract:
National Cancer Centre Singapore consensus guidelines for hepatocellular carcinoma(2016)
Zhang Hao, Tian She, Jiang JianXin
2016, 32(9): 1664-1667. DOI: 10.3969/j.issn.1001-5256.2016.09.006
Abstract:
Discussions by experts
Current status of liver failure treatment
Ma Zhen, Wu Yun
2016, 32(9): 1668-1672. DOI: 10.3969/j.issn.1001-5256.2016.09.007
Abstract:

Liver failure is severe liver injury caused by various factors. This article summarizes currently used therapeutic methods for liver failure,and the universally acknowledged therapeutic methods include intensive care and supportive care,etiological treatment,regulation of immune function,prevention ...

Disease assessment and prognosis of liver failure
Zhang Jing, Zhou XinMin
2016, 32(9): 1673-1677. DOI: 10.3969/j.issn.1001-5256.2016.09.008
Abstract:
Liver failure has a high fatality rate and greatly threatens human health. Liver transplantation can effectively reduce the fatality rate. However,the problems such as donor shortage and allograft rejection limit the wide application of liver transplantation. An accurate early assessment helps to ev...
Research advances in clinical diagnosis,prognostic evaluation,and treatment of liver failure
Lin Feng
2016, 32(9): 1678-1683. DOI: 10.3969/j.issn.1001-5256.2016.09.009
Abstract:
Liver failure usually has rapid progression and poor prognosis and is one of the major causes of death in patients with severe hepatitis. This article describes the clinical diagnosis,prognostic evaluation,and therapeutic methods of liver failure and points out that the different opinions on the dia...
Definition,pathophysiology,and clinical management of acute-on-chronic liver failure
Liu HaiXia, Zhu YueKe, Meng QingHua
2016, 32(9): 1684-1687. DOI: 10.3969/j.issn.1001-5256.2016.09.010
Abstract:
Acute- on- chronic liver failure( ACLF) is defined as rapid deterioration of liver function under acute attack in patients with chronic liver disease and is associated with an extremely high mortality. Since the basis of liver disease and potential pathogenic factors for acute injury are different i...
Advances in diagnosis and treatment of patients with acute-on-chronic liver failure complicated by acute kidney injury
Li XiaoPeng, Wu ZhenPing, Zhang LunLi, Li Ming
2016, 32(9): 1688-1693. DOI: 10.3969/j.issn.1001-5256.2016.09.011
Abstract:
Acute- on- chronic liver failure( ACLF) is the most common type of liver failure in China,and it has complicated clinical manifestations and high mortality. When the patients experience ACLF complicated by acute kidney injury( AKI),they tend to have a prolonged length of hospital stay and a high ris...
Diagnosis and treatment of invasive fungal diseases in patients with severe liver diseases
Zang Hong, Xin ShaoJie
2016, 32(9): 1694-1698. DOI: 10.3969/j.issn.1001-5256.2016.09.012
Abstract:

Invasive fungal diseases( IFDs) are an important factor affecting the prognosis of patients with severe liver diseases,and their early diagnosis remains a challenge for clinicians. The four most commonly seen IFDs are candidiasis,aspergillosis,cryptococcosis,and pneumocystis pneumonia. We should pay...

Mechanism of action of direct-acting antiviral agents in treatment of chronic hepatitis C
Wen XiaoYu, Niu JunQi
2016, 32(9): 1699-1705. DOI: 10.3969/j.issn.1001-5256.2016.09.013
Abstract:
With the development and launch of direct- acting antiviral agents( DAAs) in the world in recent years,therapeutic regimens for chronic hepatitis C are constantly evolving. DAAs will also be launched in China in the near future. DAAs mainly target at the non-structural proteins of HCV and can inhibi...
Advances in Roussel Uclaf Causality Assessment Method for diagnosis of drug-induced liver injury and its comparison with structured expert opinion process
Yu YueCheng, Fan Ye
2016, 32(9): 1706-1713. DOI: 10.3969/j.issn.1001-5256.2016.09.014
Abstract:
Up to now,the diagnosis of drug- induced liver injury( DILI) still relies on the exclusive method,and the Roussel Uclaf Causality Assessment Method( RUCAM) is the most commonly used scale. Since the release of the first version of RUCAM scale in 1993,the second version was released in 2015,in which ...
Original articles_Viral hepatitis
Efficacy of telbivudine combined with adefovir dipivoxil and pegylated interferon combined with entecavir as antiviral therapy for chronic hepatitis B: a comparative analysis
Li Na, Gou Wei, Cui WeiLi
2016, 32(9): 1714-1716. DOI: 10.3969/j.issn.1001-5256.2016.09.015
Abstract:
Objective To investigate the efficacy of telbivudine combined with adefovir dipivoxil and PEG- IFN- α- 2a combined with entecavir as the antiviral therapy for HBe Ag- positive patients with chronic hepatitis B( CHB) and a high viral load. Methods A total of 80 previously untreated HBe Ag- positive C...
Clinical features of chronic HBV/HCV infection complicated by mild hepatic steatosis
He Jia, Li Wei, Li Kuan, Ning HuiBin, Liu JunPing, Mao ZhongShan, Shang Jia
2016, 32(9): 1717-1720. DOI: 10.3969/j.issn.1001-5256.2016.09.016
Abstract:
Objective To investigate the clinical features of previously untreated patients with chronic HBV/HCV infection complicated by mild hepatic steatosis. Methods A total of 111 previously untreated patients with chronic HBV/HCV infection who were hospitalized in Zhengzhou University People's Hospital fr...
Association of programmed cell death-1 gene polymorphisms with chronic hepatitis C virus infection and antiviral effect
Kong LingBo, Nan YueMin, Zhang YuGuo, Zhao SuXian, Wang RongQi, Fu Na, Di HaiLing, Su ShanShan
2016, 32(9): 1721-1724. DOI: 10.3969/j.issn.1001-5256.2016.09.017
Abstract:
Objective To investigate the association of single nucleotide polymorphisms( SNPs) of programmed cell death- 1( PD- 1)gene with chronic hepatitis C virus( HCV) infection and the effect of antiviral therapy with interferon combined with ribavirin. Methods A total of 228 patients with chronic hepatiti...
Efficacy comparative of different laboratory test reagents for hepatitis C virus antibody
Guo FeiBo, Wu JunZhu
2016, 32(9): 1725-1728. DOI: 10.3969/j.issn.1001-5256.2016.09.018
Abstract:
Objective To investigate the effects of different laboratory test reagents for hepatitis C virus( HCV) antibody through a comparative analysis. Methods A total of 207 samples which tested positive by four anti- HCV screening reagents commonly used in the laboratories in China( Kehua,Xinchuang,Wantai...
Effect of prohibitin on hepatitis C virus replication
Shi JuanJuan, Yang Ning, Zhang Xin, Wu FengPing, Li Mei, Gao Ning, Jia XiaoLi, Zhai Song, Dang ShuangSuo
2016, 32(9): 1729-1733. DOI: 10.3969/j.issn.1001-5256.2016.09.019
Abstract:
Objective To investigate the effect of prohibitin( PHB) on hepatitis C virus( HCV) replication. Methods Human hepatocarcinoma Huh- 7. 5 cells were transfected with the full- length genome HCV RNA in vitro to establish the full- length genome cell model of HCV,and the supernatants were collected 24,4...
Original articles_Liver fibrosis and liver cirrhosis
Effect of entecavir combined with Fuzheng Huayu capsules on inflammatory factors and fibrosis markers in patients with compensated chronic hepatitis B-related cirrhosis
Wang He, Wang QianJun, Sun FengBo, Zhang XinMing, Qi YuQin
2016, 32(9): 1734-1738. DOI: 10.3969/j.issn.1001-5256.2016.09.020
Abstract:
Objective To investigate the clinical effect of entecavir( ETV) combined with Fuzheng Huayu capsules in the treatment of patients with compensated chronic hepatitis B- related cirrhosis. Methods A total of 142 patients with compensated chronic hepatitis B- related cirrhosis who visited the Sixth Peo...
Value of indocyanine green test in evaluating liver reserve function in patients with hepatitis B cirrhosis
Lai RuiMin, Wang MingFang, Zhu YueYong
2016, 32(9): 1739-1742. DOI: 10.3969/j.issn.1001-5256.2016.09.021
Abstract:
Objective To evaluate liver reserve function in patients with hepatitis B cirrhosis using indocyanine green( ICG) clearance test,and to investigate the correlation of ICG clearance test with Child- Turcotte- Pugh( CTP) class and the Model for End- Stage Liver Disease( MELD) score in evaluating liver...
Clinical effect of laparoscopic splenectomy combined with esophagogastric devascularization in treatment of liver cirrhosis with portal hypertension
Tang HanQiu
2016, 32(9): 1743-1746. DOI: 10.3969/j.issn.1001-5256.2016.09.022
Abstract:
Objective To investigate the effect and safety of laparoscopic splenectomy( LS) combined with esophagogastric devascularization( ED) in the treatment of esophagogastric variceal bleeding and severe hypersplenism. Methods A retrospective analysis was performed for 68 patients with cirrhotic portal hy...
Original articles_Liver neoplasms
Elemene combined with transcatheter arterial chemoembolization in treatment of primary liver cancer: a meta-analysis
Ou ZhiTao, Zhan YuanJing, Huang ChunMing
2016, 32(9): 1747-1752. DOI: 10.3969/j.issn.1001-5256.2016.09.023
Abstract:

Objective To investigate the short- term efficacy,long- term efficacy,and adverse effects of elemene combined with transcatheter arterial chemoembolization( TACE) in the treatment of primary liver cancer( PLC). Methods Pub Med,EMBASE,Cochrane Library,Chinese Scientific Journal Full- Text Database,Wa...

Original articles_Biliary diseases
Value of endoscopic ultrasound and magnetic resonance cholangiopancreatography in diagnosis of obstructive jaundice
Jia Lei, Guo YuNing, Guo XiuLi, Wang TianYi, Lu: Dong, Xu YouQing
2016, 32(9): 1753-1755. DOI: 10.3969/j.issn.1001-5256.2016.09.024
Abstract:

Objective To investigate the value of endoscopic ultrasound( EUS) versus magnetic resonance cholangiopancreatography( MRCP) in the diagnosis of obstructive jaundice. Methods A total of 31 patients with obstructive jaundice who visited Beijing Tiantan Hospital,Capital Medical University,from January ...

Clinical experience in treatment of complex intrahepatic bile duct stones by regular hepatectomy
Wu Xiao, Xia Hao, Wu Jian, Zhang Ming
2016, 32(9): 1756-1759. DOI: 10.3969/j.issn.1001-5256.2016.09.025
Abstract:

Objective To investigate the clinical effect of regular hepatectomy in patients with complex intrahepatic bile duct stones. Methods A retrospective analysis was performed for the clinical data of 98 patients with complex intrahepatic bile duct stones who were treated in our hospital from January to ...

Operation skills of endoscopic retrograde cholangiopancreatography in pancreaticobiliary patients with periampullary duodenal diverticula
Zhuang DongHai, Zhang Kai
2016, 32(9): 1760-1762. DOI: 10.3969/j.issn.1001-5256.2016.09.026
Abstract:
Objective To investigate the operation skills of endoscopic retrograde cholangiopancreatography( ERCP) in patients with periampullary duodenal diverticula. Methods A retrospective analysis was performed for the clinical data of 867 patients with periampullary duodenal diverticula who underwent ERCP ...
Original articles_Pancreatic diseases
Diagnosis and treatment of hypertriglyceridemic pancreatitis in pregnancy
Gao NaNa
2016, 32(9): 1763-1765. DOI: 10.3969/j.issn.1001-5256.2016.09.027
Abstract:
Objective To investigate the clinical diagnosis and treatment of hypertriglyceridemic pancreatitis in pregnancy( HPP). Methods The clinical data of 29 patients with HPP who were admitted to Yulin Hospital of Traditional Chinese Medicine from June 2005 to June2015 were retrospectively analyzed. Resul...
Original articles_Others
Clinical features of HBV-associated acute-on-chronic liver failure induced by discontinuation of nucleoside analogues
Liu XiaoYan, Chen Jing, Xiao Long, Tong JingJing, Guan ChongDan, Yan LiLong, Su HaiBin
2016, 32(9): 1766-1769. DOI: 10.3969/j.issn.1001-5256.2016.09.028
Abstract:

Objective To investigate the clinical features of patients with HBV- associated acute- on- chronic liver failure( HBV-ACLF) induced by the discontinuation of necleos( t) ide analogues. Methods A retrospective analysis was performed for 698 patients with a definite diagnosis of HBV- ACLF in The 302 H...

Decompensated liver disease complicated by acute stroke caused by multiple factors: a clinical analysis of 15 cases
Gou ChunYan, Li Li, Zhao DaWei, Li JingYing, Luo XiaoLan, Li XiuHui
2016, 32(9): 1770-1773. DOI: 10.3969/j.issn.1001-5256.2016.09.029
Abstract:

Objective To investigate the clinical features of patients with decompensated liver disease complicated by acute stroke. Methods A retrospective analysis was performed for the clinical data of 15 patients who were hospitalized in Beijing You'an Hospital,Capital Medical University and diagnosed with ...

Association between serum preptin level and insulin resistance in patients with nonalcoholic fatty liver disease
Wang JinJun, Wang QinQin, Liu XinYan, Li YingMei, Xiong WuJun
2016, 32(9): 1774-1777. DOI: 10.3969/j.issn.1001-5256.2016.09.030
Abstract:

Objective To investigate the change in serum preptin level and its association with insulin resistance( IR) in patients with nonalcoholic fatty liver disease( NAFLD). Methods A total of 72 patients with NAFLD who visited the outpatient service or were hospitalized in Putuo Hospital Affiliated to Sha...

Effect of blueberry and probiotics on expression of PNPLA3 and SREBP-1c in rats with nonalcoholic fatty liver disease
Zhu JuanJuan, Zhou MingYu, Cheng MingLiang
2016, 32(9): 1778-1784. DOI: 10.3969/j.issn.1001-5256.2016.09.031
Abstract:

Objective To investigate the expression of patatin- like phospholipase domain- containing protein 3( PNPLA3) and sterol regulatory element- binding protein- 1c( SREBP- 1c) in the rat model of nonalcoholic fatty liver disease( NAFLD) treated by blueberry combined with probiotics,as well as its mechan...

Case reports
Drug hypersensitivity syndrome with liver failure as the main clinical manifestation: a case report
Han DongXia, Li Juan, Meng QingHua
2016, 32(9): 1785-1786. DOI: 10.3969/j.issn.1001-5256.2016.09.032
Abstract:
A case of acute fulminant hepatitis B with HIV infection
Chen ChiChi, Chen XiaoRong, Lu YunFei
2016, 32(9): 1787-1788. DOI: 10.3969/j.issn.1001-5256.2016.09.033
Abstract:
A case of secondary hemochromatosis
Mou WenQian, Li ChunYan, Chen YanPing
2016, 32(9): 1789-1790. DOI: 10.3969/j.issn.1001-5256.2016.09.034
Abstract:
A case of primary systemic amyloidosis with hepatomegaly as the main manifestation
Fan ChunLei, Wang Zheng, Li Lei, Dong PeiLing, Ding HuiGuo
2016, 32(9): 1791-1793. DOI: 10.3969/j.issn.1001-5256.2016.09.035
Abstract:
Reviews
The role of fluoxetine in antiviral therapy for chronic hepatitis C
Qin Yuan, Zhang Ying, Zhao JieRu, Guo YongHong, Jia ZhanSheng
2016, 32(9): 1794-1796. DOI: 10.3969/j.issn.1001-5256.2016.09.036
Abstract:

More than 20% of chronic hepatitis C( CHC) patients receiving the antiviral therapy with interferonα( IFNα) experience depression,and fluoxetine is often used to alleviate this symptom. Fluoxetine has anti- inflammatory properties and can change the synthesis of liver lipids,but its influence on ant...

Research advances in indicators for early diagnosis of liver cirrhosis patients with renal impairment
Lu LiFang, Feng GuoHe
2016, 32(9): 1797-1800. DOI: 10.3969/j.issn.1001-5256.2016.09.037
Abstract:
The liver is closely associated with the kidney,and liver injury in various stages can cause various kidney diseases to varying degrees,which further lead to renal impairment. Such renal impairment in the early stage is often functional and can be reversed by drugs,otherwise it can progress to hepat...
Research advances in integrated traditional Chinese and Western medicine diagnosis and treatment of minimal hepatic encephalopathy
Sun RunFei, Wu Chao, Chen Xi, Sun MingYu
2016, 32(9): 1801-1805. DOI: 10.3969/j.issn.1001-5256.2016.09.038
Abstract:

Minimal hepatic encephalopathy( MHE) is a common complication in the progression of liver cirrhosis,and cando great harm to patients and the society. This disease has hidden clinical symptoms,and fine intelligence tests and nerve electrophysiological examination can find abnormalities in intelligenc...

Current research status of mechanisms of the development and progression of liver fibrosis
Xu MingCui, Zhang Feng, Zhu GeYuZheng
2016, 32(9): 1806-1809. DOI: 10.3969/j.issn.1001-5256.2016.09.039
Abstract:

Liver fibrosis is the intermediate process in the progression of various chronic liver diseases to liver cirrhosis,and its serious complications affect the prognosis of patients with chronic liver diseases. However,so far,there remain no effective drugs for the treatment of liver fibrosis. This arti...

The role of MAPK signaling pathway in development/progression and treatment of liver cancer
Ci DanWangJiu, Lin Kun, Lu ZaiMing, Zhao XiangXuan, Wang XiaoMing
2016, 32(9): 1810-1813. DOI: 10.3969/j.issn.1001-5256.2016.09.040
Abstract:

Abnormal activation of the mitogen- activated protein kinase( MAPK) signaling pathway is closely associated with the development,progression,and metastasis of liver cancer. This article introduces the expression of MAPK proteins in liver cancer and its role in the proliferation,differentiation,and m...

Role of uric acid in the development and progression of nonalcoholic fatty liver disease
Li ShaoFeng, Liao XianHua, Ye JunZhao, Zhong BiHui
2016, 32(9): 1814-1818. DOI: 10.3969/j.issn.1001-5256.2016.09.041
Abstract:
Abnormal uric acid metabolism is closely associated with the development and progression of nonalcoholic fatty liver disease( NAFLD). This article describes the relationship between uric acid and the prevalence and severity of NAFLD,and point out that uric acid metabolic disorders directly affect th...
Research advances in diagnosis and treatment of IgG4-associated autoimmune hepatitis
Shi XiaoDong, Wei Qi, Yu Min, Liu XingXing, Jia ZhiFang, Wang YueQi, Jiang ZhenYu
2016, 32(9): 1819-1821. DOI: 10.3969/j.issn.1001-5256.2016.09.042
Abstract:
Autoimmune hepatitis( AIH) is a chronic progressive inflammatory disease involving the liver parenchyma. In recent years,there have been more studies focusing on IgG4- associated diseases. Foreign scholars have found that patients with AIH also have IgG4- positive plasma cell infiltration in the liv...
Research progress in biomarkers of drug-induced liver injury
Guo Pei, Lu Wang, Yang WenXuan, Hu YuLin
2016, 32(9): 1822-1826. DOI: 10.3969/j.issn.1001-5256.2016.09.043
Abstract:

Drug- induced liver injury( DILI) is a major reason for the recall of marketed drugs and the failure of clinical trials. Detection of potential liver injury remains a challenge for clinical management and preclinical drug safety studies. Currently,serum levels of alanine aminotransferase and asparta...

Research progress in the role of autophagy in liver regeneration
Han WeiJia, Shi HongBo, Chen Yu
2016, 32(9): 1827-1831. DOI: 10.3969/j.issn.1001-5256.2016.09.044
Abstract:

Autophagy is a pathway of intracellular degradation,in which autophagic vacuoles are formed to transport intracellular biomacromolecules and damaged organelles to lysosomes. Autophagy plays an important role in the maintenance of the dynamic balance of liver function. Abnormal liver cells can be eli...