De Novo and Recurrence of Nonalcoholic Steatohepatitis After Liver Transplantation

被引:21
作者
Kappus, Matthew [1 ]
Abdelmalek, Manal [1 ]
机构
[1] Duke Univ, Med Ctr, Div Gastroenterol, 40 Duke Med Circle,POB 3913, Durham, NC 27710 USA
关键词
Nonalcoholic fatty liver disease; Insulin resistance; Hyperlipidemia; Hypertension; Obesity; Metabolic syndrome; Cryptogenic cirrhosis; LYSOSOMAL ACID LIPASE; LONG-TERM OUTCOMES; FATTY LIVER; METABOLIC SYNDROME; HEPATIC STEATOSIS; UNITED-STATES; RISK-FACTORS; WEIGHT-GAIN; RENAL-TRANSPLANTATION; CYCLOSPORINE-A;
D O I
10.1016/j.cld.2016.12.006
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in developing countries. Approximately 25% of patients with NAFLD develop nonalcoholic steatohepatitis (NASH). NASH-related cirrhosis is now a leading listing indication for liver transplantation in the United States. Although posttransplant survival for NASH-related cirrhosis is comparable with that of other liver diseases, many patients have features of metabolic syndrome, which can contribute to a recurrence of NAFLD or NASH. This article reviews the epidemiology, pathophysiology, and treatment of de novo and recurrence of NASH after liver transplantation.
引用
收藏
页码:321 / +
页数:17
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