Castaneda Daniel, Gonzalez Adalberto Jose, Alomari Mohammad, Tandon Kanwarpreet, Zervos Xaralambos Bobby
Digestive Disease Institute, Cleveland Clinic Florida, Weston, FL 33331, United States.
Transplant Department, Cleveland Clinic Florida, Weston, FL 33331, United States.
World J Gastroenterol. 2021 Apr 28;27(16):1691-1715. doi: 10.3748/wjg.v27.i16.1691.
Viral infections affecting the liver have had an important impact on humanity, as they have led to significant morbidity and mortality in patients with acute and chronic infections. Once an unknown etiology, the discovery of the viral agents triggered interest of the scientific community to establish the pathogenesis and diagnostic modalities to identify the affected population. With the rapid scientific and technological advances in the last centuries, controlling and even curing the infections became a possibility, with a large focus on preventive medicine through vaccination. Hence, a comprehensive understanding of hepatitis A, B, C, D and E is required by primary care physicians and gastroenterologists to provide care to these patients. The review article describes the epidemiology, pathogenesis, clinical presentation, diagnostic tools and current medication regimens, with a focus on upcoming treatment options and the role of liver transplantation.
影响肝脏的病毒感染对人类产生了重大影响,因为它们在急性和慢性感染患者中导致了显著的发病率和死亡率。曾经病因不明,病毒病原体的发现引发了科学界的兴趣,以确立发病机制和诊断方法来识别受影响人群。随着过去几个世纪科技的飞速进步,控制甚至治愈这些感染成为可能,其中很大一部分重点是通过疫苗接种进行预防医学。因此,初级保健医生和胃肠病学家需要全面了解甲型、乙型、丙型、丁型和戊型肝炎,以便为这些患者提供护理。这篇综述文章描述了其流行病学、发病机制、临床表现、诊断工具和当前的药物治疗方案,重点关注即将出现的治疗选择以及肝移植的作用。