酒精相关肝炎:短期和长期管理。

IF 2.5 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Digestive Diseases and Sciences Pub Date : 2024-11-22 DOI:10.1007/s10620-024-08705-1
Sergio A De La Torre, Marco Morcos, Sammy Saab, Akshay Shetty
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引用次数: 0

摘要

酒精相关性肝炎被认为是一种严重的酒精相关性肝病,会对健康造成多种负面影响,不仅会增加住院率,还会增加死亡率。虽然住院治疗对于优化临床疗效仍然至关重要,但作为这一新兴健康流行病的长期解决方案,有必要将重点转移到酒精相关性肝炎的门诊治疗上。在此,我们回顾了酒精相关性肝炎的临床表现、诊断和目前的预后评分系统。然后,我们将为酒精相关性肝炎的门诊持续管理提供一种多模式方法,不仅包括营养优化、酒精使用障碍治疗和慢性肝病的医疗管理,还简要回顾了当前使用肝移植的趋势。
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Alcohol-Associated Hepatitis: Short- and Long-Term Management.

Alcohol-associated hepatitis, considered a severe form of alcohol-associated liver disease, carries with it multiple negative health outcomes ranging not only to increased hospitalizations but also increased rates of mortality. While the inpatient management remains critical in optimizing clinical outcomes, a shift in focus to the outpatient management of alcohol-associated hepatitis is warranted as a long-term solution to this emerging health pandemic. Here, we review the clinical presentation, diagnosis, and current prognostication scoring systems for alcohol-associated hepatitis. We then offer a multimodal approach to the continued management of alcohol-associated hepatitis in the outpatient setting encompassing not only nutritional optimization, alcohol use disorder treatment, and the medical management of chronic liver disease, but also briefly review the current trend of the use of liver transplantation.

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来源期刊
Digestive Diseases and Sciences
Digestive Diseases and Sciences 医学-胃肠肝病学
CiteScore
6.40
自引率
3.20%
发文量
420
审稿时长
1 months
期刊介绍: Digestive Diseases and Sciences publishes high-quality, peer-reviewed, original papers addressing aspects of basic/translational and clinical research in gastroenterology, hepatology, and related fields. This well-illustrated journal features comprehensive coverage of basic pathophysiology, new technological advances, and clinical breakthroughs; insights from prominent academicians and practitioners concerning new scientific developments and practical medical issues; and discussions focusing on the latest changes in local and worldwide social, economic, and governmental policies that affect the delivery of care within the disciplines of gastroenterology and hepatology.
期刊最新文献
Alcohol-Associated Hepatitis: Short- and Long-Term Management. Indications and Outcomes with Liver Retransplantation in 2025. Small Bowel Obstruction by Phytobezoar. Incidental Subvesical Bile Duct in a Patient with Mirizzi Syndrome. Love Thy Neighbor? Exploring Gastroenterology Attitudes Toward Endometriosis Screening.
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