期刊文献+

Primary sclerosing cholangitis: Updates in diagnosis and therapy 被引量:7

Primary sclerosing cholangitis: Updates in diagnosis and therapy
暂未订购
导出
摘要 Primary sclerosing cholangitis (PSC) is a chronic cholestatic syndrome of unknown origin mostly found in males, and characterized by diffuse inflammation and fibrosis of both intra- and extra-hepatic bile ducts. So far, PSC is considered as an autoimmune hepatobiliary disease. In most cases the progression of PSC towards liver cirrhosis and liver failure is slow but irreversible, and liver transplantation is currently the only definitive treatment. In recent years,PSC has been an area of active research worldwide with great interest in etiology, pathogenesis, diagnosis, and therapeutic options such as hydrophilic ursodeoxycholic acid and immunosuppressive agent tacrolimus. Recent updates on clinical and therapeutic aspects of PSC are discussed in the present review. Primary sclerosing cholangitis (PSC) is a chronic cholestatic syndrome of unknown origin mostly found in males, and characterized by diffuse inflammation and fibrosis of both intra-and extra-hepatic bile ducts. So far, PSC is considered as an autoimmune hepatobiliary disease. In most cases the progression of PSC towards liver cirrhosis and liver failure is slow but irreversible, and liver transplantation is currently the only definitive treatment. In recent years, PSC has been an area of active research worldwide with great interest in etiology, pathogenesis, diagnosis, and therapeutic options such as hydrophilic ursodeoxycholic acid and immunosuppressive agent tacrolimus. Recent updates on clinical and therapeutic aspects of PSC are discussed in the present review.
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第1期7-16,共10页 世界胃肠病学杂志(英文版)
关键词 Sclerosing cholangitis DIAGNOSIS THERAPY 诊断 治疗 原发性硬化性胆管炎 PSC 消化系统
  • 相关文献

参考文献129

  • 1Delbet P. Retrecissement du choledoque: cholecystoduodenostomie. Bull Mere Soc Nat Chit 1924; 50:1144-1146.
  • 2Sherlock S, Dooley J. Diseases of the liver and biliary system.Oxford: Blackwell Science 2002.
  • 3Olsson R, Danielsson A, Jarnerot G, Lindstrom E, Loof L,Rolny P, Ryden BO, Tysk C, Wallerstedt S. Prevalence of primary sclerosing cholangitis in patients with ulcerative colitis.Gastroenterology 1991; 100:1319-1323.
  • 4Schrumpf E, Fausa O, Elgjo K, Kolmannskog F. Hepatobiliary complications of inflammatory bowel disease. Semin Liver Dis 1988; 8:201-209.
  • 5Shepherd HA, Selby WS, Chapman RW, Nolan D, Barbatis C,McGee JO, Jewell DP. Ulcerative colitis and persistent liver dysfunction. Q J Med 1983; 52:503-513.
  • 6Lee YM, Kaplan MM. Primary sclerosing cholangitis. N Engl J Med 1995; 332:924-933.
  • 7Angulo P, Lindor KD. Primary sclerosing cholangitis. Hepatology 1999; 30:325-332.
  • 8Schrumpf E, Fausa O, Forre O, Dobloug JH, Ritland S, Thorsby E. HLA antigens and immunoregulatory T cells in ulcerative colitis associated with hepatobiliary disease. Scand J Gastroenterol 1982; 17:187-191.
  • 9Donaldson PT, Farrant JM, Wilkinson ML, Hayllar K,Portmann BC, Williams R. Dual association of HLA DR2 and DR3 with primary sclerosing cholangitis. Hepatology 1991; 13:129-133.
  • 10Chapman RW, Varghese Z, Gaul R, Patel G, Kokinon N, Sherlock S. Association of primary sclerosing cholangitis with HLA-B8.Gut 1983; 24:38-41.

同被引文献14

  • 1Fei Wang,Bing-Yuan Wang.Corticosteroids or non-corticosteroids:a fresh perspective on alcoholic hepatitis treatment[J].Hepatobiliary & Pancreatic Diseases International,2011,10(5):458-464. 被引量:8
  • 2Gustav Paumgartner.Medical treatment of cholestatic liver diseases:From pathobiology to pharmacological targets[J].World Journal of Gastroenterology,2006,12(28):4445-4451. 被引量:13
  • 3Donaldson PT,Norris S.Evaluation of the role of MHC classⅡalleles,haplotypes and selected amino acid sequences in primary sclerosing cholan-gitis. Autoimmunity . 2002
  • 4Weismuller TJ,Wedemeyer J,Kubicka S,et al.The Challengesin primary Sclerosing cholangitis aetiopathogenesis,autoimmuni-ty,management and malignancy. Journal of Hepatology . 2008
  • 5TC Schreuder,SG Hubscher,J Neuberger.Autoimmune liver diseases and recurrence after orthotopic liver transplantation: what have we learned so far?. Transplant International . 2009
  • 6Giljaca V,,Poropat G,Sti mac D,et al.Glucocorticosteroids for pri mary sclerosing cholangitis. Cochrane Database of Systematic Reviews . 2010
  • 7Gautam M,Cheruvattath R,Balan V.Recurrence of autoimmune liver disease after liver transplantation: a systematic review. Liver Transplantation . 2006
  • 8Heathcote EJ.Management of primary biliary cirrhosis.The American Association for the Study of Liver Diseases practice guidelines. Hepatology . 2000
  • 9LuRusso NF,Wiesner RH,Ludwig J,et al.Primary sclerosing cholangitis. New England Journal of Medicine, The . 1984
  • 10Pugh R N,Murray-Lyon I M,Dawson J L,et al.Transection of the oesophagus for bleeding oesophageal varices. British Journal of Surgery . 1973

引证文献7

二级引证文献44

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部