Resultados de Búsqueda por Autor

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artículo

Results of Liver Transplantation for Hepatocellular Carcinoma in a Multicenter Latin American Cohort Study

Publicado por
Piñero, Federico, Costa, Paulo, Boteon, Yuri L;, Duque, Sergio Hoyos, Marciano, Sebastian, Anders, Margarita, Varón, Adriana, Zerega, Alina, Poniachik, Jaime, Soza, Alejandro, Machaca Padilla, Martín, Menéndez, Josemaría

Publicado 2018

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OBJETIVOS: Se han reportado datos heterogéneos con respecto al trasplante de hígado (TH) para el carcinoma hepatocelular (HCC) en América Latina . Nuestro objetivo fue describir el tratamiento en lista de espera , la supervivencia y la recurrencia del CHC después del TH en un estudio multicéntrico de América Latina . MATERIAL Y MÉTODOS: Se incluyeron pacientes con HCC diagnosticados antes del trasplante (cHCC) e incidentalmente encontrados en el hígado explantado (iHCC). Las características explantadas por imágenes se compararon en cHCC (no discordantes si antes y después del TP estaban dentro de Milán, discordantes si el pre-TP estaba dentro y después del TP excedía a Milán). RESULTADOS: En total, se incluyeron 435 pacientes con cHCC y 92 con iHCC. En la lista, el 81% y el 91% de los pacientes con cHCC estaban dentro de los criterios de Milán y San Francisco (UCSF), resp...

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Diagnostic performance of three non-invasive fibrosis scores (Hepamet, FIB-4, NAFLD fibrosis score) in NAFLD patients from a mixed Latin American population

Publicado por
Zambrano-Huailla, Rommel, Guedes, Laura, Stefano, Jose Tadeu, de Souza, Arthur A. Arrais, Marciano, Sebastián, Yvamoto, Erika, Michalczuk, Matheus Truccolo, Vanni, Denise Siqueira, Rodriguez, Hernan, Carrilho, Flair Jose, Alvares-da-Silva, Mario Reis, Gadano, Adrian, Arrese, Marco, Miranda, Adelina Lozano, Oliveira, Claudia P.

Publicado 2020

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Introduction and aims Several non-invasive scoring systems have been developed and validated worldwide to predict the risk of liver fibrosis in nonalcoholic fatty liver disease (NAFLD). However, information about the performance of these systems in Latin American populations is scarce. Our aim was to evaluate the performance of the Hepamet Fibrosis Score, Fibrosis-4 (FIB-4) and the NAFLD Fibrosis Score (NFS) in a mixed Latin American group of NAFLD patients. Methods Clinical, laboratory and liver biopsy data collected from 379 biopsy-proven NAFLD patients from Latin American tertiary health centers were reviewed. Histological fibrosis stages were classified using the Kleiner score. Accuracy was determined, and new fibrosis score thresholds were calculated to better compare the performances of non-invasive tests and to explore their usefulness in excluding fibrosis. Results The distributi...

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Latin American Association for the study of the liver (ALEH) practice guidance for the diagnosis and treatment of non-alcoholic fatty liver disease

Publicado por
Arab, Juan Pablo, Dirchwolf, Melisa, Álvares-da-Silva, Mário Reis, Barrera, Francisco, Benítez, Carlos, Castellanos-Fernandez, Marlene, Castro-Narro, Graciela, Chavez-Tapia, Norberto, Chiodi, Daniela, Cotrim, Helma, Cusi, Kenneth, de Oliveira, Claudia Pinto Marques Souza, Díaz, Javier, Fassio, Eduardo, Gerona, Solange, Girala, Marco, Hernandez, Nelia, Marciano, Sebastián, Masson, Walter, Méndez-Sánchez, Nahum, Leite, Nathalie, Lozano, Adelina, Padilla, Martín, Panduro, Arturo, Paraná, Raymundo, Parise, Edison, Perez, Marlene, Poniachik, Jaime, Restrepo, Juan Carlos, Ruf, Andrés, Silva, Marcelo, Tagle, Martín, Tapias, Monica, Torres, Kenia, Vilar-Gomez, Eduardo, Costa Gil, José Eduardo, Gadano, Adrian, Arrese, Marco

Publicado 2020

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Non-alcoholic fatty liver disease (NAFLD) currently represents an epidemic worldwide. NAFLD is the most frequently diagnosed chronic liver disease, affecting 20–30% of the general population. Furthermore, its prevalence is predicted to increase exponentially in the next decades, concomitantly with the global epidemic of obesity, type 2 diabetes mellitus (T2DM), and sedentary lifestyle. NAFLD is a clinical syndrome that encompasses a wide spectrum of associated diseases and hepatic complications such as hepatocellular carcinoma (HCC). Moreover, this disease is believed to become the main indication for liver transplantation in the near future. Since NAFLD management represents a growing challenge for primary care physicians, the Asociación Latinoamericana para el Estudio del Hígado (ALEH) has decided to organize this Practice Guidance for the Diagnosis and Treatment of Non-Alcoholic F...

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artículo

OP-4 Implementation of a re-linkage to care strategy in patients with chronic hepatitis c who were lost to follow-up in Latin America

Publicado por
Mendizabal, Manuel, Thompson, Marcos, Gonzalez Ballerga, Esteban, Anders, Margarita, Castro Narro, Graciela E., Pessoa, Mario G, Cheinquer, Hugo, Mezzano, Gabriel, Palazzo, Ana, Ridruejo, Ezequiel, Descalzi, Valeria, Velarde-Ruiz Velasco, Jose A., Marciano, Sebastian, Muñoz, Linda, Schinoni, Maria I., Poniachik, Jaime, Perazzo, Rosalía, Cerda, Eira, Fuster, Francisco, Varon, Adriana, García Ruiz, Sandro, Soza, Alejandro, Cabrera, Cecilia, Gomez Aldana, Andres J, Beltrán, Flor de María, Gerona, Solange, Cocozzella, Daniel, Bessone, Fernando, Hernández, Nelia, Alonso, Cristina, Ferreiro, Melina, Antinucci, Florencia, Torre, Aldo, Moutinho, Bruna D., Borges, Silvia Coelho, Gomez, Fernando, Murga, Maria Dolores, Piñero, Federico, Sotera, Gisela F, Ocampo, Jhonier A., Mollinedo, Valeria A Cortés, Girala, Marcos, Montes, Pedro, Ratusnu, Natalia, Zuñagua, Claudia A., Castillo, Lida, Barradas, Mauricio Castillo, Chávez, Rocío, Ivantes, Cláudia, Brutti, Julia, Tenorio, Laura, Garavito, Jorge, Zevallos, Katherine, Contreras, Fernando, Infante, Mirtha, Vera-Pozo, Emilia, Tagle, Martín, Toro, Luis G., De La Rocha, Carlos A., Simian, Daniela, Silva, Marcelo O.

Publicado 2023

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Aproximadamente 1 de cada 4 pacientes con VHC crónico que eran LTFU eran candidatos para recibir tratamiento. Esta estrategia tiene el potencial de ser efectiva y accesible y tiene un impacto significativo en la cascada de atención del VHC.

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Genetic Ancestry, Race, and Severity of Acutely Decompensated Cirrhosis in Latin America

Publicado por
Farias, Alberto Queiroz, Vilalta, Anna Curto, Zitelli, Patrícia Momoyo, Pereira, Gustavo, Goncalves, Luciana L., Torre, Aldo, Diaz, Juan Manuel, Gadano, Adrian C., Mattos, Angelo Z., Mendes, Liliana S.C., Alvares-da-Silva, Mario R., Bittencourt, Paulo L., Benitez, Carlos, Couto, Claudia Alves, Mendizabal, Manuel, Toledo, Claudio L., Mazo, Daniel F., Barradas, Mauricio Castillo, Uson Raposo, Eva M., Padilla-Machaca, P. Martín, Lozano Miranda, Adelina Zarela, Malé-Velázquez, René, Lyra, André Castro, Dávalos-Moscol, Milagros B., Pérez Hernandez, Jose L, Ximenes, Rafael O., Silva, Giovanni Faria, Beltrán-Galvis, Oscar A., González Huezo, María S., Bessone, Fernando, Rocha, Tarciso D.S., Fassio, Eduardo, Terra, Carlos, Marín, Juan I., Casas, Patricia Sierra, Peña-Ramirez, Carlos de la, Parera, Ferran Aguilar, Fernandes, Flavia, da Penha Zago-Gomes, Maria, Méndez-Guerrero, Osvely, Marciano, Sebastián, Mattos, Angelo A., Oliveira, Joao C., Guerreiro, Gabriel T.S., Codes, Liana, Arrese, Marco, Nardelli, Mateus J., Silva, Marcelo O., Palma-Fernandez, Renato, Alcantara, Camila, Garrido, Cristina Sánchez, Trebicka, Jonel, Gustot, Thierry, Fernández, Javier, Clària, Joan, Jalan, Rajiv, Angeli, Paolo, Arroyo, Vicente, Moreau, Richard, Carrilho, Flair J.

Publicado 2023

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BACKGROUND & AIMS: Genetic ancestry or racial differences in health outcomes exist in diseases associated with systemic inflammation (e.g., Covid-19). This study aimed to investigate the association of genetic ancestry and race with acute-onchronic liver failure (ACLF), which is characterized by acute systemic inflammation, multi-organ failure and high risk of short-term death. METHODS: This prospective cohort study analyzed a comprehensive set of data including genetic ancestry and race, among several others, in 1274 patients with acutely decompensated cirrhosis (ADC) who were nonelectively admitted to 44 hospitals from 7 Latin American countries. RESULTS: 395 (31.0%) had ACLF of any grade at enrollment. Patients with ACLF had higher median percentage of Native American genetic ancestry and lower median percentage of European ancestry than patients without ACLF (22.6% vs 12.9% and 53.4%...