Management of nonalcoholic fatty liver disease: weight control.

abstract：:The risk for potential transmission of infectious agents during gastrointestinal (GI) endoscopy is concerning for patients and physicians. However, the instance of infection transmission remains rare after GI endoscopy procedures, with an estimated frequency of 1 in 1.8 million procedures. Endoscopy-related infection ...

journal_title：Clinics in liver disease

authors： Wu H,Shen B

更新日期：2010-02-01 00:00:00

abstract：:Although several mouse models of AIH have been described, no model is ideal. Indeed, the disease is self-limited in each model, and none is associated with significant liver fibrosis or progression to cirrhosis. Nevertheless, these models should be useful for testing different hypotheses regarding the initiation of AI...

journal_title：Clinics in liver disease

authors： Howell CD

更新日期：2002-08-01 00:00:00

abstract：:Hepatic encephalopathy (HE) represents a continuum of transient and reversible neurologic and psychiatric dysfunction. It is a reversible state of impaired cognitive function or altered consciousness in patients with liver disease or portosystemic shunting. Over the last several years, high-quality studies have been c...

journal_title：Clinics in liver disease

authors： Khungar V,Poordad F

更新日期：2012-05-01 00:00:00

abstract：:The greatest challenge facing liver transplantation today is the shortage of donor livers. Demand far exceeds supply, and this deficit has driven expansion of what is considered an acceptable organ. The evolving standard has not come without costs, however, as each new frontier of expanded donor quality (i.e., advanci...

journal_title：Clinics in liver disease

authors： Feng S,Lai JC

更新日期：2014-08-01 00:00:00

abstract：:The study of hepatitis C virus (HCV) molecular virology is helping to shape the future of our anti-HCV strategies by identifying new antiviral targets. With the advent of agents that specifically target individual HCV proteins, HCV-specific therapy has arrived. Key to these efforts is the development of high-efficienc...

journal_title：Clinics in liver disease

authors： Glenn JS

更新日期：2005-08-01 00:00:00

abstract：:Although recent evidence indicates that the quasispecies nature of HCV constitutes a critical strategy for the virus to survive in the host, the mechanisms of viral persistence remain unknown. Similarly, the correlates of immune protection in a limited proportion of individuals who succeed in clearing HCV are still la...

journal_title：Clinics in liver disease

authors： Farci P

更新日期：2001-11-01 00:00:00

abstract：:Standard therapy with pegylated interferon and ribavirin for chronic hepatitis C is effective in 40% to 50% of individuals with genotype 1 hepatitis C virus (HCV) infection and is associated with significant treatment-related toxicities. Newly developed small molecules that target key enzymes essential for HCV replica...

journal_title：Clinics in liver disease

authors： Weisberg IS,Jacobson IM

更新日期：2009-08-01 00:00:00

abstract：:Autoimmune liver diseases have much in common with each other, and there are clear associations with genetic haplotypes. Elegant studies have shown autoimmune liver disease induced by viruses and drugs. Although there is evidence for nonimmunological events precipitating immune disease, especially in primary sclerosin...

journal_title：Clinics in liver disease

authors： Peters MG

更新日期：1998-05-01 00:00:00

abstract：:Serologic assays for HBV are the mainstay diagnostic tools for HBV infection. However, the advent of molecular biology-based techniques has added a new dimension to the diagnosis and treatment of patients with chronic HBV infection. Over the past decade, improvements in molecular technology, permitting detection of as...

journal_title：Clinics in liver disease

authors： Servoss JC,Friedman LS

更新日期：2004-05-01 00:00:00

abstract：:A variety of benign and malignant neoplasms can be encountered in the liver. Hematoxylin and eosin-stained tissue sections alone may not yield sufficient information to definitively diagnose liver tumors; therefore, ancillary studies with immunohistochemical markers can play a crucial role in differentiating the diffe...

journal_title：Clinics in liver disease

authors： Chan ES,Yeh MM

更新日期：2010-11-01 00:00:00

abstract：:Nonalcoholic fatty liver disease is emerging as the most common cause of chronic liver disease worldwide. This trend is, in part, secondary, to the growing incidence of obesity, type 2 diabetes, and metabolic syndrome. Other risk factors include age, gender, race/ethnicity, genetic predisposition, and polycystic ovari...

journal_title：Clinics in liver disease

authors： Lim HW,Bernstein DE

更新日期：2018-02-01 00:00:00

abstract：:This article reviews the spectrum of alcohol use disorders. The pharmacologic properties of ethanol and its metabolism, and the historical, physical, and laboratory elements that may help diagnose an alcohol use disorder are examined. The concepts of motivational interviewing and stages of change are mentioned, along ...

journal_title：Clinics in liver disease

authors： Albanese AP

更新日期：2012-11-01 00:00:00

abstract：:Increased survival for young liver transplant recipients has greatly improved. Increasing success has led to broader indications, thereby increasing the number of potential recipients. Pediatric liver centers are developing new strategies to cope with the ever-increasing demands for suitable size appropriate grafts. U...

journal_title：Clinics in liver disease

authors： Abramson O,Rosenthal P

更新日期：2000-08-01 00:00:00

abstract：:Noncirrhotic portal hypertension represents a heterogeneous group of conditions that have distinct clinical and hemodynamic features that often help distinguish them from cirrhosis. [figure: see text] The sites of portal flow resistance may not be precisely localized to one area of the hepatic lobule and may extend be...

journal_title：Clinics in liver disease

authors： Molina E,Reddy KR

更新日期：2001-08-01 00:00:00

abstract：:The Model for End-stage Liver Disease (MELD) has been demonstrated to be an excellent predictor of survival in patients who have end-stage liver disease. It is derived from the international normalized ratio (INR) of prothrombin time, serum creatinine, and serum total bilirubin. The major use of the MELD score is to p...

journal_title：Clinics in liver disease

authors： Kamath PS,Kim WR

更新日期：2009-02-01 00:00:00

abstract：:Since the introduction of small bowel capsule endoscopy, and more recently of esophageal capsule endoscopy, these diagnostic tools have become available for the evaluation of the consequences of portal hypertension in the esophagus, stomach, and small intestine. The main advantage of the esophageal and the small bowel...

journal_title：Clinics in liver disease

authors： Rondonotti E,Villa F,Dell' Era A,Tontini GE,de Franchis R

更新日期：2010-05-01 00:00:00

abstract：:Nonalcoholic fatty liver (NAFL) is increasingly recognized as an important and common public health problem that can lead to cirrhosis and hepatic failure. Because it is often asymptomatic,many people may not know that they have it. NAFL is closely linked to obesity, which in the United States and other developed coun...

journal_title：Clinics in liver disease

authors： Ruhl CE,Everhart JE

更新日期：2004-08-01 00:00:00

abstract：:Pharmacologic management of hepatic encephalopathy includes a broad range of therapies. This article covers the specific mainstays of therapies, such as antimicrobials and laxatives, with an established evidence base. This article also covers newer modalities of therapies, such as fecal microbiota transplant, probioti...

journal_title：Clinics in liver disease

authors： Mahpour NY,Pioppo-Phelan L,Reja M,Tawadros A,Rustgi VK

更新日期：2020-05-01 00:00:00

abstract：:Artificial liver-support devices attempt to bridge patients with fulminant hepatic failure until either a suitable liver allograft is obtained for transplantation or the patient's own liver regenerates sufficiently to resume normal function. It is thought that toxins contribute to the clinical picture of fulminant hep...

journal_title：Clinics in liver disease

authors： Sechser A,Osorio J,Freise C,Osorio RW

更新日期：2001-05-01 00:00:00

abstract：:Primary biliary cirrhosis and primary sclerosing cholangitis share some clinical features with autoimmune hepatitis, but when features of autoimmune hepatitis are present, prognosis can be affected and immunosuppressive treatment warranted. The presence of severe interface hepatitis in primary biliary cirrhosis porten...

journal_title：Clinics in liver disease

authors： Mayo MJ

更新日期：2013-05-01 00:00:00

abstract：:Nonalcoholic fatty liver disease (NAFLD) is the liver disease associated with obesity, diabetes, and the metabolic syndrome. Although steatosis is a key histologic feature, liver biopsies of patients with NAFLD can show a wide range of findings. Nonalcoholic steatohepatitis (NASH) is a progressive subtype of NAFLD fir...

journal_title：Clinics in liver disease

authors： Kleiner DE,Makhlouf HR

更新日期：2016-05-01 00:00:00

abstract：:The term "alcoholic liver disease" encompasses a spectrum of pathologic conditions ranging from isolated steatosis to established cirrhosis. Within this spectrum, varying degrees of inflammation, hepatocellular ballooning degeneration, hepatocyte necrosis, cholestasis, and fibrosis may be encountered. This article rev...

journal_title：Clinics in liver disease

authors： Alpert L,Hart J

更新日期：2016-08-01 00:00:00

abstract：:Since publication of the first descriptions of acute liver failure (ALF) as a distinct clinical entity in the 1950's, the understanding of the pathophysiologic mechanisms involved and the management options have increased substantially. ALF still represents a major challenge for todays hepatologists, because it can ra...

journal_title：Clinics in liver disease

authors： Khan SA,Shah N,Williams R,Jalan R

更新日期：2006-05-01 00:00:00

abstract：:Patients with sickle cell disease can develop liver disease as a result of intrahepatic sickling of erythrocytes, viral hepatitis and iron overload secondary to multiple blood transfusions, and gallstone disease as a result of chronic hemolysis. The spectrum of clinical liver disease is wide and often multifactorial. ...

journal_title：Clinics in liver disease

authors： Theocharidou E,Suddle AR

更新日期：2019-05-01 00:00:00

abstract：:Xenotransplantation of the liver, in its broadest conception, might involve the transplantation of an intact organ or xenogeneic hepatocytes, or the use of an intact xenogeneic liver or cells as an ex vivo "device." The indications for xenotransplantation include not only hepatic failure but also, potentially, the tre...

journal_title：Clinics in liver disease

authors： Kanai N,Platt JL

更新日期：2000-08-01 00:00:00

abstract：:Bile acid synthetic defects are uncommon disorders that cause progressive cholestatic liver disease that is often lethal in infancy or early childhood. Five specific primary defects have been described. Diagnosis is based on mass spectrometry of urine and serum. Pathogenesis of liver injury is related to persistent re...

journal_title：Clinics in liver disease

authors： Bove KE

更新日期：2000-11-01 00:00:00

abstract：:Cirrhosis is a complex process in which the architecture of the liver is replaced by structurally abnormal nodules due to cirrhosis. Cirrhosis frequently leads to the development of portal hypertension. In children, portal hypertension may be caused by a wide range of etiologies, including extrahepatic portal vein obs...

journal_title：Clinics in liver disease

authors： Chapin CA,Bass LM

更新日期：2018-11-01 00:00:00

abstract：:Liver dysfunction is common in both the critically ill and postoperative patient. Metabolic derangements secondary to sepsis, poor hepatic perfusion, total parenteral nutrition, in addition to hemodynamic and anesthetic-induced changes that occur during surgery, can cause liver damage ranging from small self-limited a...

journal_title：Clinics in liver disease

authors： Aronsohn A,Jensen D

更新日期：2011-02-01 00:00:00

abstract：:The incidence of nonalcoholic fatty liver disease is increasing at an astonishing rate in the US population. Although only a small proportion of these patients develop steatohepatitis (NASH), those who do have a greater likelihood of developing end-stage liver disease and complications. Research on liver fibrosis and ...

journal_title：Clinics in liver disease

authors： Bohinc BN,Diehl AM

更新日期：2012-08-01 00:00:00

abstract：:It is no secret that the health care environment today is motivated by the underlying, largely economic impetus of managed care. This is particularly evident within the organ transplantation community, where third party payers hope to minimize their financial risk by relying more and more on "centers of excellence" ne...

journal_title：Clinics in liver disease

authors： Evans RW,Kitzmann DJ

更新日期：1997-08-01 00:00:00