...
首页> 外文期刊>Journal of liquid chromatography and related technologies >Preservation of liver function in intestinal failure patients treated with long-term total parenteral nutrition
【24h】

Preservation of liver function in intestinal failure patients treated with long-term total parenteral nutrition

机译:长期全胃肠外营养治疗的肠衰竭患者的肝功能保存

获取原文
获取原文并翻译 | 示例
           

摘要

Purpose of review The purpose of this article is to review the diagnosis, prevalence, pathophysiology, and treatment of parenteral nutrition-associated liver disease. Recent findings Parenteral nutrition-associated liver disease is more prevalent in adults than once thought. Malabsorption of nutrients such as choline and altered metabolism of intravenously infused nutrients play an important role in its development. Summary Parenteral nutrition can be a life-saving therapy for patients with short bowel syndrome; however, its long-term use can be limited by hepatic complications. The degree of liver injury can range from a mild, reversible elevation in liver function tests to end-stago liver disease. The pathophysiology underlying this complication remains unclear although it is almost certainly multifactorial in origin. Although conservative measures have a role in management, they are often ineffective once advanced liver disease has developed. Intestinal transplant should be addressed early in the course of disease, at a point in which the liver injury may be reversible. Once cirrhosis has developed, combined liver/intestinal transplant may be the only option.
机译:审查的目的本文的目的是审查肠胃外营养相关性肝病的诊断,患病率,病理生理学和治疗。最新发现在成年人中,肠胃外营养相关的肝病比以往任何时候都更普遍。营养物质(如胆碱)的吸收不良以及静脉内注入的营养物质的代谢改变在其发育中起重要作用。小结肠外营养可作为短肠综合征患者的一种救生治疗方法。但是,其长期使用可能会受到肝脏并发症的限制。肝损伤的程度可以从肝功能检查的轻度,可逆性升高到终末期肝病。尽管几乎可以肯定起源是多因素的,但尚不清楚该并发症的病理生理学。尽管保守措施在管理中起着一定作用,但一旦晚期肝病发展,它们通常就无效。肠道移植应在疾病的早期进行,此时肝损伤可能是可逆的。一旦肝硬化发展,肝/肠联合移植可能是唯一的选择。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号