Get access

Management of hepatitis C; Report of the Consensus Meeting at the 45th Annual Meeting of the Japan Society of Hepatology (2009)


  • Disclaimer Statement: The view expressed in these consensus do not necessarily represent the view of the National Health Insurance of Japan, or the Japanese Government.

  • This article was previously published in Japanese in Kanzo 50:11, pp 665–677 (November 2009).

Mr Namiki Izumi, Department of Gastroenterology and Hepatology, Musashino Red-Cross Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo 180-8610, Japan. Email:


The consensus meeting for the diagnosis, management and treatment for hepatitis C was held in 45th annual meeting for the Japan Society of Hepatology (JSH) in June 2009 where the recommendations and informative statements were discussed including organizers and presenters. The Several important informative statements and recommendations have been shown. This was the fourth JSH consensus meeting of hepatitis C, however, the recommendations have not been published in English previously. Thus, this is the first report of JSH consensus of hepatitis C. The rate of development of hepatocellular carcinoma (HCC) in HCV-infected patients in Japan is higher than in the USA, because the average age of the HCV-infected patients is greater and there are more patients with severe fibrosis of the liver than in the USA. In Japan, more than 60% of HCV-infected patients are genotype 1b infection, and they show lower response to perinterferon and ribavirin combination treatment. To improve the response rate is also an important issue in our country. To establish the original recommendations and informative statements to prevent the development of HCC is a very important issue in Japan.