Potential importance of the sexual transmission of non‐A, non‐B hepatitis

Jorge J. Gumucio, Robert P. Perillo – 1 April 1991 – To identify previously unrecognized sources for acquiring acute hepatitis B and non‐A, non‐B (NANB) hepatitis, we interviewed patients with these types of hepatitis who were reported to two county health departments in the United States and matched control subjects for known and potential risk factors for acquiring hepatitis. Of 218 patients with hepatitis B and 140 patients with NANB hepatitis, 46% and 53%, respectively, had no commonly recognized source for infection.

Incidence of parenchymal liver diseases in Denmark, 1981 to 1985: Analysis of hospitalization registry data

Thomas P. Almdal, Thorkild I. A. Sørensen – 1 April 1991 – The sex‐specific and age‐specific incidence rates of the major parenchymal liver diseases in a North European population were estimated using a computerized registry of all admissions to somatic hospitals in Denmark.

Randomized comparative study of hemaccel vs. albumin infusion after total paracentesis in cirrhotic patients with refractory ascites

Francesco Salerno, Salvatore Badalamenti, Elettra Lorenzano, Pamela Moser, Pierluigi Incerti – 1 April 1991 – Fifty‐four cirrhotic patients with refractory ascites were treated with one‐session large‐volume paracentesis and randomly assigned to two groups. The first group was infused with human albumin, and the second group was infused with hemaccel at doses with comparable oncotic power. The two groups were compared for incidence of complications, recurrence of massive ascites after hospital dismissal and survival rate.

Treatment of hepatocellular carcinoma

Jorge J. Gumucio, Adrian M. Di Bisceglie – 1 April 1991 – Fifty‐one patients with unresectable hepatocellular carcinoma were treated by embolization of the hepatic artery with Gelfoam powder, contrast material and three chemotherapeutic agents (doxorubicin, mitomycin, cisplatin). Twelve patients (24%) had a partial response with a decrease in the tumor diameter by at least 50%, 13 patients (26%) had only minor responses, 12 (24%) had stabilization of disease and the remainder had progressive disease.

Orthotopic liver transplantation for patients with hepatitis B virus–related liver disease

Satoru Todo, Anthony J. Demetris, David van Thiel, Lewis Teperman, John J. Fung, Thomas E. Starzl – 1 April 1991 – Fifty‐nine patients with prior hepatitis B virus infection underwent orthotopic liver transplantation. During the first 2 mo, mortality was not significantly different in the hepatitis B virus–infected group (25.5%) vs. a hepatitis B virus–immune control group (21%). Beyond 2 mo, the mortality, rate of graft loss, need for retransplantation and incidence of abnormal liver function were significantly higher in the hepatitis B virus–infected group.

Incidence, determinants and significance of delayed clearance of serum HBsAg in chronic hepatitis B virus infection: A prospective study

Yun‐Fan Liaw, I‐Shyan Sheen, Tong‐Jong Chen, Chia‐Ming Chu, Chia‐C Pao – 1 April 1991 – To investigate the incidence, determinants and significance of delayed clearance of serum HBsAg in chronic hepatitis B virus infection, a prospective follow‐up study was conducted in two consecutive groups of patients. Group I consisted of 984 patients (859 men and 125 women) with biopsy‐proven chronic type B hepatitis, whereas group II consisted of 1,598 asymptomatic chronic carriers (998 men and 600 women) with normal serum aminotransferase activity.

Immune response of peripheral blood mononuclear cells to HBx‐antigen of hepatitis B virus

Maria‐Christina Jung, Marietta Stemler, Thomas Weimer, Ulrich Spengler, Jutta Döhrmann, Robert Hoffmann, Dieter Eichenlaub, Josef Eisenburg, Gustav Paumgartner, Gert Riethmüller, Hans Will, Gerd R. Pape – 1 April 1991 – The hepatitis B virus genome encodes a transcriptional transactivator protein designated HBxAg. We have investigated whether this antigen is a target structure for human T‐lymphocytes.

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