Metabolic syndrome following liver transplantation in nonalcoholic steatohepatitis

被引:14
作者
Spiritos, Zachary [1 ]
Abdelmalek, Manal F. [1 ]
机构
[1] Duke Univ, Div Gastroenterol & Hepatol, Durham, NC USA
关键词
Cardiovascular disease (CVD); diabetes mellitus; dyslipidemia; hypertension; immunosuppression; obesity; nonalcoholic fatty liver disease (NAFLD); transplant outcomes; ONSET DIABETES-MELLITUS; LONG-TERM OUTCOMES; CARDIOVASCULAR RISK; IMMUNOSUPPRESSIVE REGIMEN; HEPATITIS-C; DISEASE; ASSOCIATION; PREVALENCE; RECIPIENTS; PATIENT;
D O I
10.21037/tgh.2020.02.07
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Metabolic syndrome is a major clinical disorder involving metabolic dysregulation characterized clinically with features of central obesity, insulin resistance (IR), type 2 diabetes, hypertension, and dyslipidemia. Metabolic syndrome is strongly associated with the rising prevalence nonalcoholic steatohepatitis, a leading indication for orthotopic liver transplantation in the Western world. The presence or recurrence of metabolic syndrome following liver transplantation can contribute to the development and recurrence of nonalcoholic fatty liver disease (NAFLD) in the liver allograft. In this review, we discuss the endogenous and exogenous drivers of post-transplant metabolic syndrome, role of chronic immunosuppression, and the prevalence and clinical significant of post-transplant metabolic syndrome on nonalcoholic steatohepatitis.
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页数:11
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