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Update on ischemic hepatitis.
Smith, Jessica Elizabeth; Rockey, Don C.
Afiliação
  • Smith JE; Department of Internal Medicine, University of Mississippi Medical Center.
  • Rockey DC; Digestive Disease Research Center, Medical University of South Carolina, Charleston, South Carolina, USA.
Curr Opin Gastroenterol ; 40(3): 143-147, 2024 05 01.
Article em En | MEDLINE | ID: mdl-38547333
ABSTRACT
PURPOSE OF REVIEW Ischemic hepatitis (IH) refers to diffuse liver injury secondary to hypoperfusion. The condition is usually seen in the critical care setting and is associated with significant mortality. IH typically occurs in the setting of systemic hypotension superimposed on some form of underlying cardiac dysfunction. This review aims to report what is known and what is new about the etiology, pathophysiology, and clinical features associated with IH. RECENT

FINDINGS:

In recent years, studies on IH have largely confirmed earlier reports regarding etiologies, comorbid conditions, and associated mortality. Recent study has also shed light on the potential treatment of IH with N -acetyl-cysteine (NAC).

SUMMARY:

IH is typically associated with underlying cardiac disease, and patients with IH have a very high mortality rate. Treatment remains largely supportive, although the utility of agents such as NAC are being explored.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hepatite Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hepatite Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article