Clinicians caring for patients with chronic viral hepatitisface complex challenges. The ultimate goal of therapy for chronichepatitis is to heal hepatic inflammation and necrosis, therebyhalting progression to cirrhosis and hepatocellular carcinoma.Although our understanding of the mechanisms of liver injury,fibrosis, regeneration, and repair is incomplete, it is apparentthat the key to successful therapy for chronic viral hepatitisis the durable suppression of viral replication. Potential approachesusing antifibrotic, cytoprotective, or proregenerative agentswill remain secondary to the use of drugs that directly inhibitviral replication. Effective long-term suppression of viralreplication requires medications that are . . . [Full Text of this Article]
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From the Department of Internal Medicine, University of Nebraska Medical Center, Omaha.
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