Endoscopic brush cytology from the biliary duct system is still valuable.

Introduction: The aim of this study was to define sensitivity, specificity and positive and negative predictive values of endoscopic retrograde cholangiopancreatography (ERCP) brush cytology from biliary strictures obtained over a period of 12 years in a county hospital in Denmark.

Material And Methods: Patients with cytology specimens identified by brushings of the bile duct, pancreatic duct and ampulla of Vater were included. The specimens were reported as unsatisfactory, normal, atypical, suspicious for malignancy or malignant.

[Hepatotoxicity of dietary supplements and herbals is mostly unknown].

The use of herbals and dietary supplements is considerable and increasing. Several cases of serious hepatotoxic side effects and a wide range of clinical manifestations have been described. As toxic hepatitis often arises in an unpredictable and dose-independent manner, diagnosis may be difficult.

[Toxic hepatitis triggered by green tea].

Green tea is associated with various beneficial health effects, but several cases of hepatotoxic side effects have been reported. We present the first Danish case of toxic hepatitis following the consumption of 4-6 cups of green tea per day for six months. Green tea's main chemical component is epigallocatechin gallate (EGCG).

Increased mortality among persons infected with hepatitis C virus.

Background & Aims: The long-term mortality of patients infected with hepatitis C virus (HCV) is not known; few studies have controlled for potential confounders, investigated how mortality changes with age at diagnosis and length of follow-up period, provided absolute risk estimates of death, or analyzed specific causes of death.

Methods: Using a Danish population, we compared mortality of a cohort of 10,991 HCV-infected patients with that of an age- and sex-matched cohort. Using regression analysis, we adjusted for municipality of residence, history of psychiatric illness, comorbidities, alcohol and drug abuse, and income.

[Toxic hepatitis following consumption of the herbal medicinal product Cascara Sagrada].

Herbal medicinal products can cause toxic hepatitis. This case report presents a patient who developed severe toxic hepatitis with beginning liver failure following four weeks of consumption of the herbal medicinal product Cascara Sagrada. A similar case was reported from the United States.

Liver biopsy performance and histological findings among patients with chronic viral hepatitis: a Danish database study.

We investigated the variance of liver biopsy frequency and histological findings among patients with chronic viral hepatitis attending 10 medical centres in Denmark. Patients who tested positive for HBsAg or HCV- RNA were retrieved from a national clinical database (DANHEP) and demographic data, laboratory analyses and liver biopsy results were collected. A total of 1586 patients were identified of whom 69.