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摘要:
In the last two decades,advances in immunosuppressive regimens have led to fewer complications of acute rejection crisis and consequently improved shortterm graft and patient survival.In parallel with this great success,long-term posttransplantation complications have become a focus of interest of doctors engaged in transplant medicine.Metabolic syndrome(MetS)and its individual components,namely,obesity,dyslipidemia,diabetes,and hypertension,often develop in the post-transplant setting and are associated with immunosuppressive therapy.Nonalcoholic fatty liver disease(NAFLD)is closely related to MetS and its individual components and is the liver manifestation of MetS.Therefore,it is not surprising that MetS and its individual components are associated with recurrent or“de novo”NAFLD after liver transplantation(LT).Fibrosis of the graft is one of the main determinants of overall morbidity and mortality in the post-LT period.In the assessment of post-LT steatosis and fibrosis,we have biochemical markers,imaging methods and liver biopsy.Because of the significant economic burden of post-LT steatosis and fibrosis and its potential consequences,there is an unmet need for noninvasive methods that are efficient and cost-effective.Biochemical scores can overestimate fibrosis and are not a good method for fibrosis evaluation in liver transplant recipients due to frequent post-LT thrombocytopenia.Transient elastography with controlled attenuation parameter is a promising noninvasive method for steatosis and fibrosis.In this review,we will specifically focus on the evaluation of steatosis and fibrosis in the post-LT setting in the context of de novo or recurrent NAFLD.
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篇名 Noninvasive markers of liver steatosis and fibrosis after liver transplantation-Where do we stand?
来源期刊 世界移植杂志 学科 医学
关键词 STEATOSIS FIBROSIS Noninvasive methods Transient elastography Transplantation Nonalcoholic fatty liver disease
年,卷(期) 2021,(3) 所属期刊栏目
研究方向 页码范围 37-53
页数 17页 分类号 R57
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节点文献
STEATOSIS
FIBROSIS
Noninvasive
methods
Transient
elastography
Transplantation
Nonalcoholic
fatty
liver
disease
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界移植杂志
不定期
2220-3230
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
41
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0
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0
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