<human>: this is for a Hepatologisti have a patient on pegasys for Hep C who has been having recurrent attacks of galls tone colics and needs a lap cholecystectomy. the patient has a Child A cirrhosis with portal hypertension. can I have the patient continue taking pegasys in the peri-op period?aabha
<bot>: Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Yes you can continue with Pegasus in the period or post op also. But three things you have to keep in mind:1. He is having Cirrhosis, Child A, so avoid hematologic Chat Doctor.  Now oral medications (DAA-Directly acting antivirals) are available for treatment of Hepatitis c. You can switch him to that depending on the Genotype. 3. Universal precautions hope I have answered your query and this will help you. Wish you a good health