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酒精性肝病的肝移植:不断变化的形势。

Liver transplantation for alcohol-associated liver disease: The changing landscape.

作者信息

Yildiz Eda, Zaffar Duha, Ozturk N Begum, Gurakar Merve, Donmez A Eylul, Toruner Merih Deniz, Simsek Cem, Gurakar Ahmet

机构信息

Department of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Department of Internal Medicine, University of Maryland Midtown Campus, Baltimore, Maryland, USA.

出版信息

Hepatol Forum. 2025 Mar 1;6(2):77-86. doi: 10.14744/hf.2024.2024.0057. eCollection 2025.

DOI:10.14744/hf.2024.2024.0057
PMID:40248677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11999900/
Abstract

Alcoholic liver disease(ALD) is considered as a growing public health issue with universally increasing disease burden. Various genetic and environmental factors play role in its etiology. ALD recently has become the major indication for Liver Transplantation (LT). Most LT programs select their candidates by adhering to six months of alcohol abstinence policy. Nevertheless, early liver transplantation (ELT) has become a subject of research, both in Europe and the United States, as an effective and lifesaving option among highly selected severe alcohol-associated hepatitis (SAH) patients. ELT is a promising way in the management of ALD, perhaps changing clinical practice for carefully selected patient groups.

摘要

酒精性肝病(ALD)被认为是一个日益严重的公共卫生问题,疾病负担普遍增加。各种遗传和环境因素在其病因中起作用。ALD最近已成为肝移植(LT)的主要指征。大多数LT项目通过坚持六个月戒酒政策来选择候选人。然而,早期肝移植(ELT)在欧洲和美国都已成为研究课题,作为高度选择的严重酒精性肝炎(SAH)患者的一种有效且挽救生命的选择。ELT是管理ALD的一种有前景的方法,可能会改变精心挑选患者群体的临床实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eee/11999900/a74af0481cab/hf-6-077-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eee/11999900/68736cd1f3d3/hf-6-077-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eee/11999900/e396f173ed96/hf-6-077-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eee/11999900/a74af0481cab/hf-6-077-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eee/11999900/68736cd1f3d3/hf-6-077-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eee/11999900/e396f173ed96/hf-6-077-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eee/11999900/a74af0481cab/hf-6-077-g003.jpg

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本文引用的文献

1
EASL Clinical Practice Guidelines on liver transplantation.欧洲肝脏研究学会肝脏移植临床实践指南。
J Hepatol. 2024 Dec;81(6):1040-1086. doi: 10.1016/j.jhep.2024.07.032. Epub 2024 Oct 31.
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Alcohol-associated liver disease-Global epidemiology.酒精性肝病——全球流行病学
Hepatology. 2024 Dec 1;80(6):1307-1322. doi: 10.1097/HEP.0000000000000899. Epub 2024 Apr 19.
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Approach to Liver Transplantation: Is There a Difference between East and West?肝移植的方法:东西方之间存在差异吗?
J Clin Med. 2024 Mar 25;13(7):1890. doi: 10.3390/jcm13071890.
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Alcohol-related liver disease: A global perspective.酒精性肝病:全球视角。
Ann Hepatol. 2024 Sep-Oct;29(5):101499. doi: 10.1016/j.aohep.2024.101499. Epub 2024 Apr 4.
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Racial and ethnic disparities in alcohol-associated liver disease in the United States: A systematic review and meta-analysis.美国酒精相关性肝病的种族和民族差异:系统评价和荟萃分析。
Hepatol Commun. 2024 Mar 18;8(4). doi: 10.1097/HC9.0000000000000409. eCollection 2024 Apr 1.
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Alcohol Relapse After Early Liver Transplantation in Patients With Alcoholic Liver Disease: A Meta-Analysis.酒精性肝病患者早期肝移植后的酒精复饮:一项荟萃分析。
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Between-hospital care referrals for severe alcohol-related liver disease during the COVID-19 pandemic, 2020 to 2022.2020 年至 2022 年 COVID-19 大流行期间,因严重酒精性肝病的医院间治疗转诊。
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Alcohol-associated liver disease: Epidemiology and management.酒精相关性肝病:流行病学和管理。
Ann Hepatol. 2024 Jan-Feb;29(1):101162. doi: 10.1016/j.aohep.2023.101162. Epub 2023 Oct 12.
9
Alcohol-Associated Liver Disease: Evolving Concepts and Treatments.酒精相关性肝病:不断变化的概念与治疗。
Drugs. 2023 Nov;83(16):1459-1474. doi: 10.1007/s40265-023-01939-9. Epub 2023 Sep 25.
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Imaging of Alcohol-Associated Liver Disease.酒精相关性肝病的影像学表现
AJR Am J Roentgenol. 2024 Jan;222(1):e2329917. doi: 10.2214/AJR.23.29917. Epub 2023 Sep 20.