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原发性硬化性胆管炎治疗方案的最新进展。

An update on treatment options for primary sclerosing cholangitis.

作者信息

Iravani Shahrokh, Dooghaie-Moghadam Arash, Razavi-Khorasani Niloofar, Moazzami Bobak, Dowlati Beirami Amirreza, Mansour-Ghanaei Alireza, Majidzadeh-A Keivan, Mehrvar Azim, Khoshdel Alireza, Nasiri Toosi Mohssen, Sadeghi Amir

机构信息

Research Center for Cancer Screening and Epidemiology, AJA University of Medical Sciences, Tehran, Iran.

Gastroenterology and Hepatobiliary Research Center, AJA University of Medical Sciences, Tehran, Iran.

出版信息

Gastroenterol Hepatol Bed Bench. 2020 Spring;13(2):115-124.

PMID:32308932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7149806/
Abstract

Primary sclerosing cholangitis is a chronic cholestatic liver disease defined by strictures of the biliary tree which could ultimately lead to liver cirrhosis and cholangiocarcinoma. Although the exact underlying etiology of this disorder is not fully understood, the pathology is believed to be caused by immune mediated mechanisms. Growing body of evidence suggests several treatment modalities mainly focusing on the inflammation aspect of this disorder. However, there is still no consensus regarding the best treatment option for these patients. Thus, the present study aimed to review the current treatment options for patients with primary sclerosing cholangitis.

摘要

原发性硬化性胆管炎是一种慢性胆汁淤积性肝病,其特征为胆管树狭窄,最终可导致肝硬化和胆管癌。尽管这种疾病的确切潜在病因尚未完全明确,但据信其病理是由免疫介导机制引起的。越来越多的证据表明有几种治疗方式主要针对该疾病的炎症方面。然而,对于这些患者的最佳治疗方案仍未达成共识。因此,本研究旨在综述原发性硬化性胆管炎患者目前的治疗选择。

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J Gastrointest Cancer. 2020 Sep;51(3):748-753. doi: 10.1007/s12029-019-00336-4.
2
Effects of Antibiotic Therapy in Primary Sclerosing Cholangitis with and without Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis.抗生素治疗原发性硬化性胆管炎伴或不伴炎症性肠病的效果:系统评价和荟萃分析。
Semin Liver Dis. 2019 Nov;39(4):432-441. doi: 10.1055/s-0039-1688501. Epub 2019 Jul 17.
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Efficacy and safety of curcumin in primary sclerosing cholangitis: an open label pilot study.姜黄素治疗原发性硬化性胆管炎的疗效与安全性:一项开放标签的试点研究。
Scand J Gastroenterol. 2019 May;54(5):633-639. doi: 10.1080/00365521.2019.1611917. Epub 2019 May 26.
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Effects of Vedolizumab in Patients With Primary Sclerosing Cholangitis and Inflammatory Bowel Diseases.维得利珠单抗治疗原发性硬化性胆管炎和炎症性肠病患者的效果。
Clin Gastroenterol Hepatol. 2020 Jan;18(1):179-187.e6. doi: 10.1016/j.cgh.2019.05.013. Epub 2019 May 14.
5
Important problems in the diagnosis and treatment of primary sclerosing cholangitis (based on the Russian consensus on diagnosis and treatment autoimmune hepatitis. Moscow, 2018).原发性硬化性胆管炎诊断与治疗中的重要问题(基于俄罗斯自身免疫性肝炎诊断与治疗共识。莫斯科,2018年)
Ter Arkh. 2019 Mar 17;91(2):9-15. doi: 10.26442/00403660.2019.02.000075.
6
Magnetic Resonance Imaging in Primary Sclerosing Cholangitis-Current State and Future Directions.原发性硬化性胆管炎的磁共振成像——现状和未来方向。
Semin Liver Dis. 2019 Jul;39(3):369-380. doi: 10.1055/s-0039-1687853. Epub 2019 Apr 30.
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Curr Hepatol Rep. 2019;18(1):115-126. doi: 10.1007/s11901-019-00456-2. Epub 2019 Mar 7.
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