High Fibroscan ( cirrhosis ) result even after recovering from HCV

[nile2018]

Hi , I was diagnosed with Hep C in 2003 and then went through Pegasys treatment and SVR was achieved after completion of treatment. I was fine and had no health issues until when I was curious to know if everything is fine. So i want through a lot of liver testings as suggested by my doctor . All indicator were fine but Fibriscan result was 31.6 KPA in 2013. Doctor gave some medication and suggested to change some habits so I focused on changing lifestyle for food, started exercise etc. I was under regular follow up with doctor . In 2020 the KPA dropped to 16.7 . I have no significant health issues except fatigue. I tried and was able to loose 10 KG weight ( now 70 KG ) . I asked my doctor several times even I was recovered from HCV why the KPA was so high ? Does this means that I have Cirrohsis ? He told me there were some damages ( fibrosis ) before I went for HCV treatment and after the treatment there were no further deterioration but my liver still has stiffness and I can continue without worrying until there are no further infections and care taken for liver. I would like to know if this a correct statement and if I can further reduce my KPA or my liver would be healthy again . Thanks very much for your thoughts .

[Fibro2021]

Hey, This is a very interesting question that cannot be answered unambiguously. As far as I know and have been able to read recent scientific articles devoted to this issue, regression of cirrhosis with the elimination of the damaging factor is quite possible. The debate is whether complete regression is possible, or whether it has certain limitations associated with a steady change in histoarchitectonics and microvascular disorders (only partial regression). Most authors conclude that regression of cirrhosis is quite possible to incomplete septal cirrhosis (ISC) of the liver. At the same time, wide strands of fibrous tissue characteristic of cirrhosis are reduced to thin, inconspicuous and often incomplete septa. Liver stiffness in ISC may decrease below the classical values ​​accepted for liver cirrhosis.