Letter: the value of quality liver biopsy before initiation of corticosteroids for severe alcoholic hepatitis

Abstract

LINKED CONTENTThis article is linked to Vaz et al papers. To view these articles, visit https://doi.org/10.1111/apt.16539

Are elevated systemic bile acids involved in the pathophysiology of sarcopenia and liver injury following gastric bypass?

“…Additional or superimposed external trigger may also play a role such as hepatotoxic medication, viral infection or alcohol, the latter being well described as a risk factor in the post-obesity surgery period (4,7,8). biopsy for differential diagnosis (16). Here however, the anatomopathological analysis of the liver biopsy did not identify lobular neutrophil infiltration or satellitosis, thus excluding a diagnosis of alcoholic steatohepatitis (ASH) (14,15).…”

Letter: the value of quality liver biopsy before initiation of corticosteroids for severe alcoholic hepatitis‐authors' reply

“…Letter: the value of quality liver biopsy before initiation of corticosteroids for severe alcoholic hepatitis-authors' reply Editors, We thank Lanthier et al for their interest in our paper looking at the role of liver biopsy in the assessment of alcoholic hepatitis (AH). 1 They describe their own cohort of 162 patients biopsied for suspected severe AH of whom 13 (8%) had alcohol-induced microvesicular steatosis (MIC), also known as alcoholic foamy degeneration.…”