Update on the Treatment of the Pruritus of Cholestasis

被引:17
作者
Bergasa, Nora V. [1 ,2 ]
机构
[1] Woodhull Med & Mental Hlth Ctr, Dept Med, Brooklyn, NY 11026 USA
[2] SUNY Downstate, Brooklyn, NY USA
关键词
PRIMARY BILIARY-CIRRHOSIS; CHRONIC LIVER-DISEASE; SERUM BILE-ACIDS; RECURRENT INTRAHEPATIC CHOLESTASIS; EXTRACORPOREAL ALBUMIN DIALYSIS; ORAL NALTREXONE TREATMENT; OPIOID RECEPTOR AGONIST; DOUBLE-BLIND; INTRACTABLE PRURITUS; CONTROLLED-TRIAL;
D O I
10.1016/j.cld.2007.11.009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The pruritus of cholestasis is a difficult clinical problem to manage. it can be severe and interfere with sleep. Clinical behavioral studies have confirmed that the pruritus is mediated at least in part by endogenous opioids. Other neurotransmitter systems may be involved in the mediation of pruritus. Work continues to identify the mechanisms that mediate the pruritus and to develop specific drugs to treat this often maddening symptom.
引用
收藏
页码:219 / +
页数:17
相关论文
共 113 条
[1]  
[Anonymous], 1990, ANN NY ACAD SCI
[2]  
Arrese Marco, 2006, Ann Hepatol, V5, P202
[3]  
BACHS L, 1989, LANCET, V1, P574
[4]   EFFECTS OF LONG-TERM RIFAMPICIN ADMINISTRATION IN PRIMARY BILIARY-CIRRHOSIS [J].
BACHS, L ;
PARES, A ;
ELENA, M ;
PIERA, C ;
RODES, J .
GASTROENTEROLOGY, 1992, 102 (06) :2077-2080
[5]   ITCHING AFTER EPIDURAL AND SPINAL OPIATES [J].
BALLANTYNE, JC ;
LOACH, AB ;
CARR, DB .
PAIN, 1988, 33 (02) :149-160
[6]   INTRATHECAL INJECTION OF MORPHINE FOR OBSTETRIC ANALGESIA [J].
BARAKA, A ;
NOUEIHID, R ;
HAJJ, S .
ANESTHESIOLOGY, 1981, 54 (02) :136-140
[7]   PRIMARY BILIARY-CIRRHOSIS - NEW THERAPEUTIC DIRECTIONS [J].
BERG, CL ;
GOLLAN, JL .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1992, 27 :43-49
[8]  
Berg CL, 2001, HEPATOLOGY, V34, p541A
[9]   Gabapentin in patients with the pruritus of cholestasis: A double-blind, randomized, placebo-controlled trial [J].
Bergasa, Nora V. ;
McGee, Monnie ;
Ginsburg, Iona H. ;
Engler, Danielle .
HEPATOLOGY, 2006, 44 (05) :1317-1323
[10]  
BERGASA NV, 1994, J HEPATOL, V20, P85