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实体器官移植后的骨质流失:器官特异性考虑因素的综述。

Bone Loss after Solid Organ Transplantation: A Review of Organ-Specific Considerations.

机构信息

Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

出版信息

Endocrinol Metab (Seoul). 2024 Apr;39(2):267-282. doi: 10.3803/EnM.2024.1939. Epub 2024 Apr 25.

Abstract

This review article investigates solid organ transplantation-induced osteoporosis, a critical yet often overlooked issue, emphasizing its significance in post-transplant care. The initial sections provide a comprehensive understanding of the prevalence and multifactorial pathogenesis of transplantation osteoporosis, including factors such as deteriorating post-transplantation health, hormonal changes, and the impact of immunosuppressive medications. Furthermore, the review is dedicated to organ-specific considerations in transplantation osteoporosis, with separate analyses for kidney, liver, heart, and lung transplantations. Each section elucidates the unique challenges and management strategies pertinent to transplantation osteoporosis in relation to each organ type, highlighting the necessity of an organ-specific approach to fully understand the diverse manifestations and implications of transplantation osteoporosis. This review underscores the importance of this topic in transplant medicine, aiming to enhance awareness and knowledge among clinicians and researchers. By comprehensively examining transplantation osteoporosis, this study contributes to the development of improved management and care strategies, ultimately leading to improved patient outcomes in this vulnerable group. This detailed review serves as an essential resource for those involved in the complex multidisciplinary care of transplant recipients.

摘要

这篇综述文章探讨了实体器官移植引起的骨质疏松症,这是一个关键但经常被忽视的问题,强调了它在移植后护理中的重要性。文章的开头部分全面介绍了移植后骨质疏松症的流行情况和多因素发病机制,包括移植后健康状况恶化、激素变化以及免疫抑制药物的影响等因素。此外,本综述还专门探讨了移植后骨质疏松症的器官特异性问题,对肾、肝、心和肺移植分别进行了分析。每个部分都阐述了与每种器官类型相关的移植后骨质疏松症的独特挑战和管理策略,强调了采用器官特异性方法来全面理解移植后骨质疏松症的不同表现和影响的必要性。

这篇综述强调了这个话题在移植医学中的重要性,旨在提高临床医生和研究人员的认识和知识水平。通过全面研究移植后骨质疏松症,本研究有助于制定更好的管理和护理策略,最终改善这一脆弱群体的患者预后。这篇详细的综述为参与移植受者复杂的多学科护理的人员提供了一个重要的资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d459/11066446/923717f83a3b/enm-2024-1939f1.jpg

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