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

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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?

It appears that the webinar is on CST. If that is the case, I will be unable to attend. Will the webinar be recorded so that we can listen to it later?

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?

Question: What is Ursodiol?

@debbiefulco1

Question: What is Ursodiol?

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Hi Debbie, here is a link for more information on Ursodiol, http://www.mayoclinic.org/drugs-supplements/ursodiol-oral-route/description/drg-20066618

@christies

It appears that the webinar is on CST. If that is the case, I will be unable to attend. Will the webinar be recorded so that we can listen to it later?

Jump to this post

Hi Christies, yes the webiar is at noon CST but you will be able to come back, watch the webinar and post questions here.

Please discuss prognosis of someone who has cirrhosis stage 4 with hepatic encephalopathy.

Is the Paleo Diet a good diet for someone with diabetes, cirrhosis, hepatic encephalopathy. Please discuss the best foods to eat…….thanks, Danielle

@debbiefulco1

Question: What is Ursodiol?

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Thanks!

@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

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

@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.

@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.

@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.

@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?

Jump to this post

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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