Amal A. Jouda
Zagazig University, EgyptTitle: HCC after DAA the challenge and the risk
Abstract
Before the
national HCV treatment campaign started there were studies that raised concerns
about the role of DAA in patients with advanced liver disease and in patients
with previous ablation of HCC in enhancing carcinogensis. The health
authorities choose to proceed despite those concerns because those patients do
not have an alternative therapy to help them achieve viral clearance. Moreover,
viral clearance will not only stop further deterioration of their liver
disease, but will also prevent the spread of the disease in the society. Wider
scale studies were published after the initiation of the campaign based on data
from the Egyptian patients and most of them were in favor of the use of DAA in those
patients. The studies also emphasized on understanding each patient’s
individual risk factors of hepatic carcinogenesis and that patients at higher
risk should be referred to tighter follow up schedules to detect focal lesions
as soon as they become visible.
Biography
Amal A. Jouda
has completed her Msc at the age of 27 years and the MD at the age of 33 years from
Zagazig University, Egypt. She is an assistant professor of Tropical Medicine
in the Faculty of Medicine, Zagazig University. She is also a first consultant
of gastroenterology and Hepatology in Zagazig University Hospitals. She has 20
publications in the fields of hepatology, gastroeneterology and infectious
diseases and her publication h-index is 3.