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Hepatic Steatosis and Chronic Hepatitis B Virus

Completed
Conditions
Chronic Hepatitis
Interventions
Diagnostic Test: Liver biopsy
Registration Number
NCT05678582
Lead Sponsor
Sohag University
Brief Summary

This study aims to evaluate the prevalence and severity of hepatic steatosis in CHB and investigate the relationship between hepatic steatosis and viral load, liver biochemistry, liver fibrosis, and inflammation in CHB

Detailed Description

This hospital-based cohort study will be conducted on 80 adult hepatitis B surface antigen (HBsAg) carriers presented to the Tropical Medicine and Gastroenterology outpatient clinic, at Sohag University Hospital Exclusion criteria Patients with serological evidence of HCV. HBV patients who had received or are currently under anti-viral therapy. Alcohol consumption. Decompensated liver disease. Patients with HCC. Patients are known to have another chronic liver disease (e.g. autoimmune hepatitis, primary biliary cirrhosis, Wilson's disease, Haemochromatosis, or drug-induced chronic hepatitis).

Patients with contraindications to liver biopsy such as uncooperative patients, prothrombin time (PT) \>4 seconds more than control, INR greater than 1.6, platelets count \<100.000/mm3After taking informed written consent, the participants will be subjected to:

Clinical evaluation: medical history and physical examination.

Laboratory investigations:

Complete blood count. Prothrombin time and concentration. Liver function tests Anti-HCV. HBeAg. HBV DNA. Abdominal ultrasonography Ultrasound-guided percutaneous liver biopsy

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
91
Inclusion Criteria

Hepatitis B surface antigen (HBsAg) carriers presented to the Tropical Medicine and Gastroenterology outpatient clinic, at Sohag University Hospital

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Exclusion Criteria

Patients with serological evidence of HCV. HBV patients who had received or are currently under anti-viral therapy. Alcohol consumption. Decompensated liver disease. Patients with HCC. Patients are known to have another chronic liver disease (e.g. autoimmune hepatitis, primary biliary cirrhosis, Wilson's disease, Haemochromatosis, or drug-induced chronic hepatitis).

Patients with contraindications to liver biopsy such as uncooperative patients, prothrombin time (PT) >4 seconds more than control, INR greater than 1.6, platelets count <100.000/mm3.

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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
HBV without hepatic steatosisLiver biopsyHBV without hepatic steatosis on liver biopsy
HBV with hepatic steatosisLiver biopsyHBV with hepatic steatosis on liver biopsy
Primary Outcome Measures
NameTimeMethod
prevalence of hepatic steatosis in CHBJanuary 2023 to july 2023 will be included in the study

Number of cases with hepatic steotosis in CHB

degree of hepatic steatosis in CHBJanuary 2023 to july 2023 will be included in the study

Mild, or Moderate or severe degree

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Faculty of medicine

🇪🇬

Sohag, Egypt

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