Professional Profile
MD, Chief Physician
Executive Director of the Liver Disease Branch and Director of the Infectious Disease Branch of the Chinese Association for Ethnic Medicine
Standing Director of the World Federation of Chinese Medicine Dietary Therapy Professional Committee
< p>Director of Chinese Medical Doctor Association Integrated Traditional Chinese and Western Medicine Liver Disease Branch
Executive Director of World Federation of Chinese Medicine Diagnostics Professional Committee, etc.
National Natural Science Foundation of China Life Medicine Project Evaluation Expert
< p>Beijing Haidian District Medical Malpractice Review Expert
Member of the Liver Disease Professional Committee of the Beijing Association of Traditional Chinese Medicine
Standing Member of the Liver Disease Drug Research Professional Committee of the China Association of Traditional Chinese Medicine
China Vice-chairman of the Popular Science Branch of the Ethnic Medicine Society
Interview text
Liver asked: I have acute appendicitis, I am a patient with liver cirrhosis, I have a little ascites now. May I ask if I need to remove the appendix? Will it affect the liver if the appendix is removed?
Answer
In the case of acute appendicitis, the surgeon will assess the condition of your liver and then make a grade if It is the early and middle stage of liver cirrhosis. For example, patients with child grade A and B can be treated with surgery. If there is a small amount of ascites, preoperative symptomatic treatment can also be performed to reduce ascites as much as possible. If the liver cirrhosis is at a relatively late stage, Child class C, the anesthetics used during surgery may have an impact on liver function, and conservative treatment may be recommended in this case.
Liver friend asked: I am “Hepatitis B big three yang”, 15 years, no medicine, virus 10^6, others have not been checked, how to comprehensively treat ?
Answer
According to the recommendations of the guidelines, it should be based on your serum HBV DNA, ALT level and the severity of liver disease, as well as age, family history and concomitant diseases and other factors, comprehensively assess the risk of disease progression in patients, and decide whether to initiate antiviral therapy. If ALT is persistently abnormal and other causes of ALT elevation are excluded, antiviral therapy is recommended. For patients with positive HBV DNA but normal ALT, if one of the following conditions is met: liver histological examination shows significant inflammation and/or fibrosis [G≥2 and/or S≥2]; hepatitis B cirrhosis Or family history of hepatitis B liver cancer and age > 30 years; ALT continues to be normal and age > 30 years, non-invasive diagnostic techniques for liver fibrosis or liver histological examination are recommended, and the results show obvious liver inflammation or fibrosis; HBV-related extrahepatic manifestations (such as HBV-related glomerulonephritis, etc.), antiviral therapy is recommended. Treatment-naïve patients should be the first choice for treatment with potent and low-resistance drugs (ETV, TDF, TAF).
Consultation methods for patients with liver disease:① | Click on Dr. LiverMenu bar report interpretation functionUpload reports and questions; ② | Click at the end of the article“read original text” to upload reports and questions ;③ | Scan the “Dr. Liver QR code” below to add friends to leave a message for consultation; /img>
*Report interpretation upload steps:
Click here, read the original text, to upload questions and reports~