Fibroscan 4 kpa: So, this happened... - British Liver Trust

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Fibroscan 4 kpa

ktan49 profile image
7 Replies

So, this happened yesterday, despite having all these awful symptoms.. liver nurse was pleased with this result but she was also a bit confused as I have grade 1 varices, weightloss, raised ALT & GGT, fatigue, HE symptoms & all the abdominal / back pain.

Any idea what the next step for my consultant will be?

Does this mean I have no scarring??

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ktan49 profile image
ktan49
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7 Replies
AyrshireK profile image
AyrshireK

Fibroscan of 4 in some conditions relates to no fibrosis (F0), the highest it would go to is (F1) so very early changes. I would hope your consultant is going to do further follow up. Somethings not right quite obviously, but, what is anyones guess. Best wishes for getting further answers.

Katie

It has been documented that given enough time even cirrhotic livers can produce normal fibroscan results as sometimes the liver becomes soft again. I can send you a study the NCIB did on just this topic. They basically studied patients who had 75kpa scores that returned to normal range kpa on fibroscan even though liver biopsy still confirmed cirrhosis. This is why I always stay firm that fibroscans are not for diagnosis but merly a tool to aid in it. By no means am I saying the score is wrong or that you have scarring. Just letting you know that these scores have happened in the presence of cirrhotic liver states. Also btw fibroscans have also yielded scores that would suggest extreme scarring in people with active hepatitis that do not have cirrhosis. So the door can swing both ways

Your cap score is suggestive of fatty liver tho

ktan49 profile image
ktan49

Thanks for your replies.

Well i'm gonna request to be referred to QE Bham for 2nd opinion next time I speak to him ( hopefully soon) Been feeling so sick today and I have no appetite :(

Roy1955 profile image
Roy1955

Ask about that CAP score!

It takes an expert to look at all tests alongside symptoms to give a diagnosis and yours will be different to anyone else.

My consultant was more worried about my cap score in the low 300s than my 24 fibro average.

He said its indicating severe ongoing NAFLD that could worsen my cirrhosis but lifestyle changes can improve it.

ktan49 profile image
ktan49 in reply to Roy1955

Thanks for reply Roy.

My gastro consultant will contact me once he's received the results... hope he takes my symptoms seriously as I'm worried now my fibro score is low he won't refer me to hepatolgist. I feel so poorly... I don't even feel like the same person anymore.. the last 3 months have been a blank page.

Roy1955 profile image
Roy1955

just checked.

normal CAP according to my result/report is up to 200.

mine was 346 so considered very high.

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