わが国における大酒家慢性肝炎の現状

概要

論文の詳細を見る
The objectives of this study were to determine whether hepatitis virus affects chronic alcoholic hepatitis. A nationwide survey of hospitals qualified by the Japanese Society of Gastroenterology was conducted to determine the status of alcoholic liver disease (ALD) in-patients since 1998. The prevalence of hepatitis virus infection in each kind of ALD patient was also investigated. Regarding chronic alcoholic hepatitis, we confirmed it was diagnosed by liver biopsy or not. Only 45 in 204 patients were diagnosed by liver biopsy as chronic alcoholic hepatitis. The percentage of chronic alcohol hepatitis patients without viral hepatitis was 24.5%. Hepatitis virus continues to play a crucial role in the pathogenesis of chronic alcohol hepatitis. Patients without liver biopsy were diagnosed by high ALT level in patients with ALD who were not enough for criteria of alcoholic hepatitis. New criteria are required for such patients.
社団法人　日本肝臓学会の論文
2005-04-25