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Association of the Laennec staging system with degree of cirrhosis, clinical stage and liver function

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Abstract

Objectives

The aim of this study was to investigate the association of the Laennec staging system with degree of cirrhosis, clinical stage and liver function.

Methods

Liver biopsy was performed for 30 patients with hepatitis B cirrhosis to test the content of hydroxyproline in hepatic tissue, judge the degree of cirrhosis and determine the Laennec staging system. The association of the Laennec staging system with the degree of cirrhosis, clinical stage and liver function was compared.

Results

The Laennec staging system had a close association with clinical stage, model for end-stage liver disease score and degree of cirrhosis (r = 0.58, p < 0.01; r = 0.60, p < 0.01; r = 0.53, p < 0.01).

Conclusions

The Laennec histological grading system can to some extent reflect the degree of cirrhosis, clinical stage and liver function, and is expected to predict the incidence of patient complications in a useful way.

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References

  1. Kutami R, Girgrah N, Wanless IR, Sniderman K, Wong F, Sherman M. The Laennec grading system for assessment of hepatic fibrosis: validation by correlation with wedged hepatic vein pressure and clinical features. Hepatology 2000;32:407A

    Google Scholar 

  2. de Franchis R. Evolving consensus in portal hypertension. Report of the Baveno IV consensus workshop on methodology of diagnosis and therapy in portal hypertension. J Hepatol 2005;43(1):167–176

    Article  PubMed  Google Scholar 

  3. Garcia-Tsao G, Friedman S, Iredale J, Pinzani M. Now there are many (stages) where before there was one: in search of a pathophysiological classification of cirrhosis. Hepatology 2010;51(4):1445–1449

    Article  PubMed Central  PubMed  Google Scholar 

  4. Wanless IR, Nakashima E, Sherman M. Regression of human cirrhosis. Morphologic features and the genesis of incomplete septal cirrhosis. Arch Pathol Lab Med 2000;124(11):1599–1607

    CAS  PubMed  Google Scholar 

  5. Davis GL, Esteban-Mur R, Rustgi V, Hoefs J, Gordon SC, Trepo C, et al. Interferon alfa-2b alone or in combination with ribavirin for the treatment of relapse of chronic hepatitis C. International Hepatitis Interventional Therapy Group. N Engl J Med 1998;339(21):1493–1499

    Article  CAS  PubMed  Google Scholar 

  6. Lai CL, Chien RN, Leung NW, Chang TT, Guan R, Tai DI, et al. A one-year trial of lamivudine for chronic hepatitis B. Asia Hepatitis Lamivudine Study Group. N Engl J Med 1998;339(2):61–68

    Article  CAS  PubMed  Google Scholar 

  7. McHutchison JG, Gordon SC, Schiff ER, Shiffman ML, Lee WM, Rustgi VK, et al. Interferon alfa-2b alone or in combination with ribavirin as initial treatment for chronic hepatitis C. Hepatitis Interventional Therapy Group. N Engl J Med 1998;339(21):1485–1492

    Article  CAS  PubMed  Google Scholar 

  8. Sobesky R, Mathurin P, Charlotte F, Moussalli J, Olivi M, Vidaud M, et al. Modeling the impact of interferon alfa treatment on liver fibrosis progression in chronic hepatitis C: a dynamic view. The Multivirc Group. Gastroenterology 1999;116(2):378–386

    Article  CAS  PubMed  Google Scholar 

  9. Shiratori Y, Imazeki F, Moriyama M, Yano M, Arakawa Y, Yokosuka O, et al. Histologic improvement of fibrosis in patients with hepatitis C who have sustained response to interferon therapy. Ann Intern Med 2000;132(7):517–524

    Article  CAS  PubMed  Google Scholar 

  10. Jia JD. Pay more attention to the new classification, prognosis and noninvasive diagnosis of hepatic cirrhosis. Zhonghua Nei Ke Za Zhi 2013;52(12):1005–1006

    PubMed  Google Scholar 

  11. Baik SK, Park DH, Kim MY, Choi YJ, Kim HS, Lee DK, et al. Captopril reduces portal pressure effectively in portal hypertensive patients with low portal venous velocity. J Gastroenterol 2003;38(12):1150–1154

    Article  PubMed  Google Scholar 

  12. Baik SK, Jee MG, Jeong PH, Kim JW, Ji SW, Kim HS, et al. Relationship of hemodynamic indices and prognosis in patients with liver cirrhosis. Korean J Intern Med 2004;19(3):165–170

    Article  PubMed Central  PubMed  Google Scholar 

  13. Kim MY, Baik SK, Park DH, Jang YO, Suk KT, Yea CJ, et al. Angiotensin receptor blockers are superior to angiotensin-converting enzyme inhibitors in the suppression of hepatic fibrosis in a bile duct-ligated rat model. J Gastroenterol 2008;43(11):889–896

    Article  CAS  PubMed  Google Scholar 

  14. Nagula S, Jain D, Groszmann RJ, Garcia-Tsao G. Histological–hemodynamic correlation in cirrhosis—a histological classification of the severity of cirrhosis. J Hepatol 2006;44:111–117

    Article  PubMed  Google Scholar 

  15. Kim MY, Cho MY, Baik SK, Park HJ, Jeon HK, Im CK, et al. Histological subclassification of cirrhosis using the Laennec fibrosis scoring system correlates with clinical stage and grade of portal hypertension. J Hepatol 2011;55(5):1004–1009

    Article  PubMed  Google Scholar 

  16. De Robertis R, D’Onofrio M, Demozzi E, Crosara S, Canestrini S, Pozzi MR. Noninvasive diagnosis of cirrhosis: a review of different imaging modalities. World J Gastroenterol 2014;20(23):7231–7241

    Article  PubMed Central  PubMed  Google Scholar 

  17. Kim JH, Kim MN, Han KH, Kim SU. Clinical application of transient elastography in patients with chronic viral hepatitis receiving antiviral treatment. Liver Int 2015;35:1103–1115

  18. Lukenda V, Mikolasevic I, Racki S, Jelic I, Stimac D, Orlic L. Transient elastography: a new noninvasive diagnostic tool for assessment of chronic allograft nephropathy. Int Urol Nephrol 2014;46(7):1435–1440

    Article  CAS  PubMed  Google Scholar 

  19. Van Gossum A, Pironi L, Messing B, Moreno C, Colecchia A, D’Errico A, et al. Transient elastography (FibroScan) is not correlated with liver fibrosis but with cholestasis in patients with long-term home parenteral nutrition. J Parenter Enteral Nutr 2014; 0148607114538057. doi:10.1177/0148607114538057

  20. Qiao JY, Xia GY, Liang D. Application of ultrasonic elasticity imaging technology in diagnosis of liver fibrosis. J Ultrasound Med 2013;05:327–329

    Google Scholar 

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Funding

The key project of the clinical specialist by National Health and Family Planning Commission of the People’s Republic of China; the joint project of the school enterprise.

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Authors

Corresponding author

Correspondence to Caixian Liao.

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Conflict of interest

Wei Wang, Jiye Li, Runhu Pan, A. Sileng, and Caixian Liao declare that they have no conflict of interest.

Ethical standard

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.

Informed consent

Informed consent was obtained from all patients for being included in the study

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Cite this article

Wang, W., Li, J., Pan, R. et al. Association of the Laennec staging system with degree of cirrhosis, clinical stage and liver function. Hepatol Int 9, 621–626 (2015). https://doi.org/10.1007/s12072-015-9648-7

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  • DOI: https://doi.org/10.1007/s12072-015-9648-7

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