Bruguera Miguel
Servicio de Hepatologia, Hospital Clínic, Barcelona, España; Departamento de Medicina, Universidad de Barcelona, Barcelona, España.
Gastroenterol Hepatol. 2014 Nov;37(9):535-43. doi: 10.1016/j.gastrohep.2014.04.005. Epub 2014 Jun 18.
Liver diseases in the elderly have aroused less interest than diseases of other organs, since the liver plays a limited role in aging. There are no specific liver diseases of old age, but age-related anatomical and functional modifications of the liver cause changes in the frequency and clinical behavior of some liver diseases compared with those in younger patients. This review discusses the most important features of liver function in the healthy elderly population, as well as the features of the most prevalent liver diseases in this age group, especially the diagnostic approach to the most common liver problems in the elderly: asymptomatic elevation of serum transaminases and jaundice.
与其他器官的疾病相比,老年肝脏疾病引起的关注较少,因为肝脏在衰老过程中所起的作用有限。老年并没有特定的肝脏疾病,但与年轻患者相比,与年龄相关的肝脏解剖学和功能改变会导致某些肝脏疾病的发病率和临床症状出现变化。本文综述了健康老年人群肝功能的最重要特征,以及该年龄组中最常见肝脏疾病的特征,特别是老年最常见肝脏问题的诊断方法:血清转氨酶无症状升高和黄疸。