Hepatitis C care at Mayo Clinic

Your Mayo Clinic care team

Doctor examines hepatitis C patient Physical exam in hepatitis C

A Mayo Clinic liver specialist (hepatologist) examines a patient.

Mayo Clinic's hepatitis C care teams include doctors trained in liver disease (hepatologists), specialists in infectious disease, diagnostic radiologists and pathologists, and, if necessary, liver transplant experts in medical and surgical subspecialties. Rounding out the team are advanced-practice nurses, physician assistants and other allied health professionals, some of whom focus exclusively on caring for patients with hepatitis C.

These experts communicate directly with each other to coordinate your appointments, streamline the diagnostic process and design a plan of care that meets your unique needs. Your care team also monitors your condition as treatment progresses, making adjustments as needed.

Advanced diagnosis and treatment

At Mayo Clinic, you have access to the latest advances in hepatitis C diagnosis and treatment, including:

  • Noninvasive testing. Two imaging tests that measure liver stiffness, which indicates liver damage, have largely replaced liver biopsy in assessing hepatitis C-related liver damage. These tests — magnetic resonance elastography (MRE) and transient elastography — are virtually painless. They are also safer than a liver biopsy, which carries a small risk of bleeding or internal injury. In some circumstances, either test may also provide a more precise measure of liver damage than does a liver biopsy. The MRE technique was developed at Mayo Clinic.
  • New medications. Researchers at Mayo Clinic have made significant contributions to clinical trials of direct-acting antiviral medications in chronic hepatitis C, particularly in patients with cirrhosis, patients with other infections that worsen hepatitis C (hepatitis B and human immunodeficiency virus) and patients infected with less common HCV genotypes.
Staff discuss hepatitis C clinical trials Leading hepatitis C clinical trials

Mayo Clinic staff members discuss hepatitis C clinical trials.

Aug. 18, 2017
References
  1. Hepatitis C FAQs for the public. Centers for Disease Control and Prevention. http://www.cdc.gov/hepatitis/hcv/cfaq.htm. Accessed May 4, 2016.
  2. AskMayoExpert. Hepatitis C antiviral therapy (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  3. Florian J, et al. Direct-acting antiviral drugs for treatment of chronic hepatitis C infection: Interferon-free is now. Clinical Pharmacology and Therapeutics. 2015;98:394.
  4. Recommendations for testing, managing, and treating hepatitis C. Alexandria, Va.: The American Association for the Study of Liver Diseases. Arlington, Va.: The Infectious Diseases Society of America. http://www.hcvguidelines.org/. Accessed March 28, 2016.
  5. Liese MD (expert opinion). Mayo Clinic, Rochester, Minn. May 31, 2016.
  6. Bennett JE, et al. Hepatitis C. In: Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2015. https://www.clinicalkey.com. Accessed May 4, 2016.
  7. Chopra S, et al. Clinical manifestations and natural history of chronic hepatitis C virus infection. http://www.uptodate.com/home. Accessed June 1, 2016.
  8. Hepatic Encephalopathy. What are the symptoms of HE? American Liver Foundation. http://he123.liverfoundation.org/diagnosis/symptoms-of-he/. Accessed Dec. 1, 2014.
  9. Lorenz R, et al. Clinical manifestations, diagnosis, and treatment of acute hepatitis C in adults. http://www.uptodate.com/home. Accessed April 3, 2016.
  10. AskMayoExpert. Hepatitis C epidemiology (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  11. Venkatesh SK, et al. Magnetic resonance elastography of the liver: Technique, analysis and clinical applications. Journal of Magnetic Resonance Imaging. 2013;37:544.
  12. Gerstenmaier JF. Ultrasound in chronic liver disease. Insights Into Imaging. 2013;5:441.
  13. What I need to know about hepatitis C. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.niddk.nih.gov/health-information/health-topics/liver-disease/hepatitis-c/Pages/ez.aspx. Accessed June 1, 2016.
  14. Verna EC. Recurrence of hepatitis C virus infection following liver transplantation. http://www.uptodate.com/home. Accessed March 22, 2016.
  15. Brown A. Decision Support System. Mayo Clinic, Rochester, Minn. March 22, 2016.
  16. AskMayoExpert. Hepatitis C emerging treatments (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.