Long-term management of liver disease

Individuals whose liver function test results remain abnormal should be assessed by a specialist for alternative causes of liver disease (Table 5). All people with cirrhosis need to enter appropriate surveillance programs for HCC and oesophageal varices, as recommended by existing guidelines.[65-67] As liver stiffness decreases after cure of HCV, due to a reduction in inflammation, people with cirrhosis continue to require long-term monitoring for complications of cirrhosis even if they have a liver stiffness measurement < 12.5 kPa after treatment. In addition, complications of chronic liver disease, including malnutrition and osteoporosis, should be addressed.