Cap & kPa

[Belleben]

Hi do anybody know anything about cap score? What shouldn't it be above & also for kPa. Can having moving gallstones cause stiffness in liver?? Gallstones are causing no pain ATM. Thanks

[AyrshireK]

CAP reveals the amount of fatty change in the liver. A CAP between 238 and 260 reveals S1 (Steatosis Grade 1) - less than 1/3 or 11-33% of liver is fatty, 260 to 290 is S2 meaning between 1/3 and 2/3 or 34 to 66% fatty and anything from 290 to 400, is S3 or more than 2/3 or 66% fatty.

kPa is the stiffness score but what that means in terms of degree of stiffness i.e

F0 to F4 varies depending on what the underlying condition is.

If there is ongoing inflammation in the liver the kPa score can potentially be falsely inflated as fibroscan can't differentiate between actual fibrous tissue and inflamed tissue so results from the scan need to be looked at in conjunction with the results of all other tests.

Katie

[Belleben in reply to AyrshireK]

Thanks Katie x

[Corriemay15]

Hi all I know is it should be between 2-5 anything above 75 is supposed to be a fatty liver

[Roy1955 in reply to Corriemay15]

Please check Katie's reply for the correct information.

[Prestige42]

male 42 years old here my Kia was 75. Cap score 227. Life long vodka drinker. Currently navigating this complex road. Have upcoming mri an liver biopsy. Anyone please feel free to comment. Best wishes to all

[AyrshireK in reply to Prestige42]

Your 75 kPa may be a false high if you have very inflated blood tests just now. Often when people score the full 75 it's the result of inflammation rather than actual fibrous tissue, however, there is some chance that there is fibrosity or even cirrhosis and you'll get the full story once you have the further tests and results.

Katie

[Prestige42 in reply to AyrshireK]

Thank you for your response. It is very much appreciated. I came across your replies to numerous people here. I have to say you seem very knowledgeable. I’m sure it helps people in my situation when one is in between results and further testing but has no other place to ask questions. Again thank you so much🙏

[AyrshireK in reply to Prestige42]

You are welcome, hope you get your next tests and results quickly.

All the best, Katie

[Prestige42]

Jo’s was 75. Typo. Apologies

[BritishLiverTrust8 Moderator British Liver Trust]

Dear Belleben

If you would find it useful to talk things over, our nurse-led helpline is open Monday to Friday from 9am to 3pm on 0800 652 7330 (excluding bank holidays)

Best wishes

British Liver Trust