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Cheritart
New Member


Date Joined Jul 2009
Total Posts : 3
   Posted 7/18/2009 9:48 AM (GMT -7)   
I'm new and don't have hepatitis.  I had my gall bladder out a month ago and because of my bloodwork, they did a liver biopsy at the same time.  Turns out I have stage 2 of 3 fatty liver and stage 2 of 4 fibrosis.   The surgeon did tell me that I should stay away from alcohol (only had an occasional glass of wine anyway) and to follow up with my PCP for the liver problems and diet.  I can't get in for another two weeks and I can't find anything on staging for what I have. 
 
I'd really appreciate any information you might have.
 
Thanks 

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 7/18/2009 11:07 AM (GMT -7)   

Cheritart, welcome to the forum!  Basically this is a liver disease forum, not just for those with hepatitis.

The good news is that fatty liver disease can be reversible.  As your doctor mentioned, NO alcohol.  Also, if you are overweight, you should lose the extra weight.  Did your doctor say anything about NASH or non-alcoholic steatohepatitis?  NASH is more serious and can lead to cirrhosis and death.  Since you also mentioned fibrosis, I'm wondering if you might have NASH.  When you go over the the results of your biopsy with your PCP, if NASH is mentioned or if you have cirrhosis, you absolutely should get a referral to a hepatologist. 

I can't address the stages, except to say it would seem you are in the middle.  According to Dr. Palmer in her book Hepatitis & Liver Disease, "Fibrosis is the initial stage of the formation of scar tissue in the liver.  Cirrhosis is irreversible scarring of the liver."  With NASH, fibrosis can progress to cirrhosis.  That is why it is very important to see a hepatologist if this is a possibility.  Actually, if I were you I think I'd ask for a referral to a hepatologist regardless--if your biopsy confirms fatty liver, you need to get a 2nd opinion.

I hope this helps a little.  Please let us know what your PCP says.

 



hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland


Cheritart
New Member


Date Joined Jul 2009
Total Posts : 3
   Posted 7/18/2009 2:05 PM (GMT -7)   
Thanks so much for the information. 
 
I have my pathology report.  It says steatohepatitis, moderately active (grade 2 out of 3), with periportal and perisinusoidal fibrosis (stage 2 our of 4).  Suggestion of early incomplete bridging.  They mention lymphplasmacytic infiltrate in portal trace, focal ballooning degeneration.  Heck..I'm confused!
 
Maybe I'll call PCP and try to get in sooner. 
 
 
 
 

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 7/18/2009 2:52 PM (GMT -7)   

This is why there are pathologists to interpret the biopsy.  Too bad they don't speak plain English, huh?  smilewinkgrin    I can tell you that steatohepatitis means a fatty liver with inflammation.  I'm not really qualified to interpret the rest of it. 

I don't think things will change drastically in two weeks, but for your own peace of mind you might want to get into the PCP sooner, especially if you are going to request a consult with a hepatologist.

Hugs,

Connie


hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland


Cheritart
New Member


Date Joined Jul 2009
Total Posts : 3
   Posted 7/19/2009 2:21 PM (GMT -7)   
Thanks so much! I'll let you know what happens.

Pink Grandma
Veteran Member


Date Joined Nov 2006
Total Posts : 2445
   Posted 7/20/2009 8:46 AM (GMT -7)   
Hi Cheritart and welcome to HealingWell. Just wanted to let you know about our educational thread in the Hepatitis Resources. It' has a lot of good information concerning liver disease.

Take care and come back anytime.........We'll be here.........Thoughts and prayers...........
Pink Grandma
Forum moderator-Hepatitis

When the going gets tough....the tough get going! Don't always know where I going but I get there anyways.

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