Service des Maladies de l'Appareil digestif, Hôpital Huriez, CHU, Lille, France.
Groupe Hospitalier Cochin Saint-Vincent de Paul, Unité d'Hépatologie et d'Addictologie, Paris, France.
Liver Int. 2022 Jun;42(6):1330-1343. doi: 10.1111/liv.15221. Epub 2022 Apr 29.
Excessive alcohol consumption is the leading cause of liver diseases in Western countries, especially in France. Alcohol-related liver disease (ARLD) is an extremely broad context and there remains much to accomplish in terms of identifying patients, improving prognosis and treatment, and standardising practices. The French Association for the Study of the Liver wished to organise guidelines together with the French Alcohol Society in order to summarise the best evidence available about several key clinical points in ARLD. These guidelines have been elaborated based on the level of evidence available in the literature and each recommendation has been analysed, discussed and voted by the panel of experts. They describe how patients with ARLD should be managed nowadays and discuss the main unsettled issues in the field.
过量饮酒是西方国家,尤其是法国,肝脏疾病的主要原因。酒精性肝病(ALD)是一个非常广泛的概念,在确定患者、改善预后和治疗以及规范实践方面仍有许多工作要做。法国肝脏研究协会希望与法国酒精学会一起组织指南,以总结有关 ALD 几个关键临床问题的最佳现有证据。这些指南是根据文献中可用的证据水平制定的,每个建议都由专家组进行分析、讨论和投票。它们描述了目前应如何管理 ALD 患者,并讨论了该领域的主要未解决问题。