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应用瞬时弹性成像技术于肥胖症患者:文献综述。

The Use of Transient Elastography Technology in the Bariatric Patient: a Review of the Literature.

机构信息

Department of Surgery, Drexel University College of Medicine, 2900 W Queen Lane, Philadelphia, PA, 19129, USA.

The Center for Liver Disease, Tower Health Transplant Institute, 420 S 5th Ave, West Reading, PA, 19611, USA.

出版信息

Obes Surg. 2020 Dec;30(12):5108-5116. doi: 10.1007/s11695-020-05002-4. Epub 2020 Sep 26.

DOI:10.1007/s11695-020-05002-4
PMID:32981002
Abstract

Transient elastography (TE) is a non-invasive technology that demonstrates promise in assessing liver steatosis and fibrosis without the risks of traditional percutaneous liver biopsy. Many studies have examined its reliability in respect to liver biopsy, but fewer have examined using TE in obese and bariatric surgery patients. With evidence showing that bariatric surgery can lead to improvement of liver steatosis and fibrosis, TE has the potential to provide a simple avenue of hepatic assessment in patients before and after procedures. This review article investigates what is known about the reliability of TE and its implementation in obese and bariatric surgery patients.

摘要

瞬时弹性成像(TE)是一种非侵入性技术,在评估肝脂肪变性和纤维化方面具有很大的潜力,且没有传统经皮肝活检的风险。许多研究已经检查了其与肝活检的可靠性,但使用 TE 检查肥胖和减肥手术患者的研究较少。有证据表明减肥手术可以改善肝脂肪变性和纤维化,因此 TE 有可能为手术前后的患者提供一种简单的肝脏评估途径。这篇综述文章研究了 TE 的可靠性及其在肥胖和减肥手术患者中的应用的已知情况。

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本文引用的文献

1
Diagnostic of hepatic fibrosis with the XL probe of the Fibroscan versus biopsies in patients candidates to bariatric surgery.XL 探头 Fibroscan 诊断肝纤维化与肥胖症手术候选患者的肝活检比较。
Clin Nutr ESPEN. 2020 Jun;37:226-232. doi: 10.1016/j.clnesp.2020.02.010. Epub 2020 Mar 12.
2
Diagnostic accuracy of FibroScan-AST score to identify non-alcoholic steatohepatitis with significant activity and fibrosis in Japanese patients with non-alcoholic fatty liver disease: Comparison between M and XL probes.FibroScan-AST评分对日本非酒精性脂肪性肝病患者中具有显著活动和纤维化的非酒精性脂肪性肝炎的诊断准确性:M型和XL型探头的比较
Hepatol Res. 2020 Jul;50(7):831-839. doi: 10.1111/hepr.13508. Epub 2020 May 13.
3
成人糖尿病患者代谢手术术前医学优化的专家意见。
World J Diabetes. 2021 Oct 15;12(10):1587-1621. doi: 10.4239/wjd.v12.i10.1587.
4
Utility of Fibroscan XL to assess the severity of non-alcoholic fatty liver disease in patients undergoing bariatric surgery.利用 Fibroscan XL 评估接受减重手术患者非酒精性脂肪性肝病的严重程度。
Sci Rep. 2021 Jul 7;11(1):14006. doi: 10.1038/s41598-021-93294-6.
Non-obese patients with nonalcoholic fatty liver disease may use a lower liver stiffness cut-off to assess fibrosis stages.
非肥胖的非酒精性脂肪性肝病患者可能需要使用较低的肝脏硬度截断值来评估纤维化分期。
J Dig Dis. 2020 May;21(5):279-286. doi: 10.1111/1751-2980.12868. Epub 2020 Jun 8.
4
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