Impact of obesity on treatment of chronic hepatitis C

被引：93
作者：
Charlton, Michael R.
Pockros, Paul J.
Harrison, Stephen A.
机构：
[1] Mayo Clin & Mayo Fdn, Div Gastroenterol & Hepatol, Coll Med, Rochester, MN 55905 USA
[2] Scripps Clin, Div Gastroenterol Hepatol, La Jolla, CA USA
[3] Brooke Army Med Ctr, Div Gastroenterol & Hepatol, Ft Sam Houston, TX 78234 USA
来源：
HEPATOLOGY | 2006年 / 43卷 / 06期
关键词：
D O I：
10.1002/hep.21239
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Obesity and the metabolic syndrome have hepatic manifestations, including steatosis and progression of fibrosis. In individuals with chronic hepatitis C, obesity is associated with inflammation, insulin resistance, steatosis, progression of fibrosis, and nonresponse to treatment with interferon or peginterferon alpha and ribavirin. Patients with both hepatitis C and obesity-related nonalcoholic fatty liver disease are at greater risk for more advanced liver disease. We review the mechanisms by which obesity may be associated with decreased efficacy of interferon-based therapies in individuals with chronic hepatitis C and the therapeutic strategies that may increase the effectiveness of these therapies in obese individuals.
引用
收藏
页码：1177 / 1186
页数：10
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