Webinar: Fatty Liver Disease and Liver Transplantation: For Adults and Children

Tue, Jan 20, 2015
12:00pm to 1:00pm ET

Description

This webinar includes a brief review on the frequency and diagnosis of fatty liver disease, a discussion on the management of fatty liver disease in both adults and children, and a brief presentation on liver transplantation as a treatment for advanced disease and cirrhosis. Kymberly Watt, M.D., Julie Heimbach, M.D. and Samar Ibrahim, M.D. from Mayo Clinic Gastroenterology and Transplant Teams speak answered questions after the presenation.

Location

Online
@bboothe

Is it possible for a liver biopsy to show stage 4 of 4 cirrhosis (non-alcoholic) in October of 2014 and have normal liver enzymes show up on blood work done this month?

Also, at what point do you need to see a hepatologist if a biopsy has revealed stage 4 of 4 cirrhosis?

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HI, - Yes this is possible. Chornic liver disease can present with normal liver test.

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@bboothe

Is it possible for a liver biopsy to show stage 4 of 4 cirrhosis (non-alcoholic) in October of 2014 and have normal liver enzymes show up on blood work done this month?

Also, at what point do you need to see a hepatologist if a biopsy has revealed stage 4 of 4 cirrhosis?

Jump to this post

This is a good time to see a hepatologist.

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@bboothe

Is it possible for a liver biopsy to show stage 4 of 4 cirrhosis (non-alcoholic) in October of 2014 and have normal liver enzymes show up on blood work done this month?

Also, at what point do you need to see a hepatologist if a biopsy has revealed stage 4 of 4 cirrhosis?

Jump to this post

Thank you. I was really confused when the liver tests came back normal today.

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@bboothe

Is it possible for a liver biopsy to show stage 4 of 4 cirrhosis (non-alcoholic) in October of 2014 and have normal liver enzymes show up on blood work done this month?

Also, at what point do you need to see a hepatologist if a biopsy has revealed stage 4 of 4 cirrhosis?

Jump to this post

Thank you. We had asked the gastroenterologist about referral and he said that he would refer us before we needed to be? Thanks again.

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@jrpally

Hi, I have a question, My father presents decompensated stage of liver disease. MELD 4 years ago was 15, and MELD now is 16. He had some ascities episodes well controlled and liver encephalopaty. What means that MELD did not changed from 4 years ago?

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Rene,
MELD, or the Model for End-Stage Liver Disease is a reliable measure of mortality risk in patients with end-stage liver disease. It is used as a disease severity index to help prioritize allocation of organs for transplant. You can find more information about MELD here: http://www.mayoclinic.org/medical-professionals/model-end-stage-liver-disease. And here is a MELD calculator: http://www.mayoclinic.org/medical-professionals/model-end-stage-liver-disease/meld-model-unos-modification. As you will see, MELD is based on INR, bilirubin, creatinine, and whether a patient has had dialysis at least twice in the past week. So if those numbers haven’t changed much then the MELD score would remain the same.

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Dear Md Shawn Bishop, my question basically was, if MELD value today is the same than 4 years ago = 16, it means that the liver functions did not deteriorated much? thanks !!!

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For people living out of the United States, going to Mayo Clinic for transplantation, it is required living liver donor?,

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Do fatty liver disease and PBC relate to one another?

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I was diagnosed with NASH in 2011. The doctor instructed me to take Vitamin E and C. In addition, he told me to exercise 150 minutes a week. Is there anything else I can do to prevent it from turning into Cirrhosis?

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My doctor performed a liver biopsy a few years ago and diagnosed me with NASH. How long does it take to turn into Cirrhosis? What can I do to prevent that from happening?

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