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肝移植与衰老

Liver transplantation and aging.

作者信息

Mikulic Danko, Mrzljak Anna

机构信息

Department of Abdominal and Transplant Surgery, Merkur University Hospital, Zagreb 10000, Croatia.

Department of Medicine, Merkur University Hospital; School of Medicine, University of Zagreb, Zagreb 10000, Croatia.

出版信息

World J Transplant. 2020 Sep 18;10(9):256-266. doi: 10.5500/wjt.v10.i9.256.

DOI:10.5500/wjt.v10.i9.256
PMID:32995320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7504190/
Abstract

An increase in the average life expectancy, paralleled by a demographic shift in the population with end-stage liver disease lies behind the rising demand for liver transplantation (LT) among the elderly. Some of the most common indications for LT including hepatocellular carcinoma, alcohol-related liver disease, chronic hepatitis C and non-alcoholic fatty liver disease tend to affect older patients. Transplant professionals are faced with an increasing demand for LT among elderly patients in an age of organ shortage and it is important that risk and benefits are carefully weighed in order to achieve the optimum use of precious liver grafts.

摘要

平均预期寿命的增加,伴随着终末期肝病患者群体的人口结构变化,是老年人对肝移植(LT)需求上升的背后原因。LT的一些最常见适应症,包括肝细胞癌、酒精性肝病、慢性丙型肝炎和非酒精性脂肪性肝病,往往会影响老年患者。在器官短缺的时代,移植专业人员面临着老年患者对LT的需求不断增加的情况,为了实现珍贵肝脏移植物的最佳利用,仔细权衡风险和益处非常重要。

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Liver transplantation and aging.肝移植与衰老
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Lower rates of receiving model for end-stage liver disease exception and longer time to transplant among nonalcoholic steatohepatitis hepatocellular carcinoma.非酒精性脂肪性肝炎肝细胞癌患者接受终末期肝病模型例外情况的比例较低,且移植等待时间较长。
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Influence of donor age on liver transplantation outcomes: A multivariate analysis and comparative study.供体年龄对肝移植结局的影响:多因素分析与比较研究。
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本文引用的文献

1
Patients with Alcoholic Liver Disease Have Worse Functional Status at Time of Liver Transplant Registration and Greater Waitlist and Post-transplant Mortality Which Is Compounded by Older Age.酒精性肝病患者在进行肝移植登记时的功能状态更差,在等待移植名单上和移植后死亡率更高,而年龄较大则使情况更加复杂。
Dig Dis Sci. 2020 May;65(5):1501-1511. doi: 10.1007/s10620-019-05891-1. Epub 2019 Oct 22.
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Evolving Role of Liver Transplantation in Elderly Recipients.肝移植在老年受者中的作用演变。
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5
What Are the Benefits of a Sustained Virologic Response to Direct-Acting Antiviral Therapy for Hepatitis C Virus Infection?直接作用抗病毒药物治疗丙型肝炎病毒感染的持续病毒学应答有哪些益处?
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7
Status of Direct-Acting Antiviral Therapy for Hepatitis C Virus Infection and Remaining Challenges.丙型肝炎病毒感染的直接抗病毒治疗现状及尚存挑战。
Gastroenterology. 2019 Jan;156(2):431-445. doi: 10.1053/j.gastro.2018.10.024. Epub 2018 Oct 17.
8
Liver transplantation in elderly patients: a systematic review and first meta-analysis.老年患者肝移植:系统评价和首次荟萃分析。
HPB (Oxford). 2019 Jan;21(1):14-25. doi: 10.1016/j.hpb.2018.07.025. Epub 2018 Aug 23.
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Development of models estimating the risk of hepatocellular carcinoma after antiviral treatment for hepatitis C.丙型肝炎抗病毒治疗后肝细胞癌风险预测模型的建立。
J Hepatol. 2018 Nov;69(5):1088-1098. doi: 10.1016/j.jhep.2018.07.024. Epub 2018 Aug 21.
10
Liver transplantation and alcoholic liver disease: History, controversies, and considerations.肝移植与酒精性肝病:历史、争议与思考。
World J Gastroenterol. 2018 Jul 14;24(26):2785-2805. doi: 10.3748/wjg.v24.i26.2785.