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巴西肝病学会关于自身免疫性肝病诊断与管理的推荐更新

UPDATE OF THE BRAZILIAN SOCIETY OF HEPATOLOGY RECOMMENDATIONS FOR DIAGNOSIS AND MANAGEMENT OF AUTOIMMUNE DISEASES OF THE LIVER.

作者信息

Couto Cláudia Alves, Terrabuio Debora Raquel Benedita, Cançado Eduardo Luiz Rachid, Porta Gilda, Levy Cynthia, Silva Antônio Eduardo Benedito, Bittencourt Paulo Lisboa, Carvalho Filho Roberto José de, Chaves Dalton Marques, Miura Irene Kazue, Codes Liana, Faria Luciana Costa, Evangelista Andreia Silva, Farias Alberto Queiroz, Gonçalves Luciana Lofêgo, Harriz Michelle, Lopes Edmundo Pessoa de Almeida, Luz Gustavo Oliveira, Oliveira Patrícia Marinho Costa, Oliveira Elze Maria Gomes, Schiavon Janaina Luz Narciso, Sevá-Pereira Tiago

机构信息

Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, MG, Brasil.

Universidade de São Paulo, Faculdade de Medicina, São Paulo, SP, Brasil.

出版信息

Arq Gastroenterol. 2019 Aug 13;56(2):232-241. doi: 10.1590/S0004-2803.201900000-43.

Abstract

New data concerning the management of autoimmune liver diseases have emerged since the last single-topic meeting sponsored by the Brazilian Society of Hepatology to draw recommendations about the diagnosis and treatment of autoimmune hepatitis (AIH), primary biliary cholangitis (PBC), primary sclerosing cholangitis (PSC), overlap syndromes of AIH, PBC and PSC and specific complications and topics concerning AIH and cholestatic liver diseases. This manuscript updates those previous recommendations according to the best evidence available in the literature up to now. The same panel of experts that took part in the first consensus document reviewed all recommendations, which were subsequently scrutinized by all members of the Brazilian Society of Hepatology using a web-based approach. The new recommendations are presented herein.

摘要

自巴西肝病学会主办的上次专题会议以来,有关自身免疫性肝病管理的新数据已经出现,该会议旨在就自身免疫性肝炎(AIH)、原发性胆汁性胆管炎(PBC)、原发性硬化性胆管炎(PSC)、AIH、PBC和PSC的重叠综合征以及与AIH和胆汁淤积性肝病相关的特定并发症和主题的诊断和治疗提出建议。本手稿根据截至目前文献中的最佳证据更新了先前的那些建议。参与第一份共识文件的同一专家小组审查了所有建议,随后巴西肝病学会的所有成员通过基于网络的方法对这些建议进行了审查。在此展示新的建议。

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