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Better Diagnosis, Tx Options Improve PBC Mortality

J Gastroenterol; ePub 2017 Apr 1; Floreani, et al

Better early recognition and improved treatment options offer renewed hope to patients with primary biliary cholangitis (PBC). Researchers point to the following developments as reasons for the optimism:

  • An indirect immunofluorescence assay that measures antimitochondrial antibodies is now available to facilitate earlier diagnosis.
  • Ursodeoxycholic acid (UDCA) has dramatically improved mortality in PBC patients.
  • Obeticholic acid was recently approved and can benefit patients who have only a partial response to UDCA.
  • PBC patients with early stage disease are likely to survive about as long as persons in the general population who are matched for age and sex.

Citation:

Floreani A, Tanaka A, Bowlus C, Gershwin ME. Geoepidemiology and changing mortality in primary biliary cholangitis. [Published online ahead of print April 1, 2017]. J Gastroenterol. doi:10.1007/s00535-017-1333-2.