Ramadan fasting and liver diseases: A review with practice advices and recommendations.

Autor: Emara MH; Faculty of Medicine, Department of Hepatology, Gastroenterology and infectious diseases, Kafrelsheikh University, Kafr El-Shikh, Egypt., Soliman HH; Faculty of Medicine, Tropical medicine and infectious diseases Department, Tanta University, Tanta, Egypt., Elnadry M; Faculty of Medicine, Hepato-gastroenterology and infectious diseases Department, Al-Azhar University, Cairo, Egypt., Mohamed Said E; Faculty of Medicine, Hepatology, Gastroenterology and Infectious Diseases Department, Benha University, Benha, Egypt., Abd-Elsalam S; Faculty of Medicine, Tropical medicine and infectious diseases Department, Tanta University, Tanta, Egypt., Elbatae HE; Faculty of Medicine, Department of Hepatology, Gastroenterology and infectious diseases, Kafrelsheikh University, Kafr El-Shikh, Egypt., Zaher TI; Faculty of Medicine, Department of Tropical Medicine, Zagazig University, Zagazig, Egypt., Ezzeldin S Bazeed S; Faculty of Medicine, Tropical Medicine and Gastroenterology Department, South Valley University, Qena, Egypt., Abdel-Razik A; Faculty of Medicine, Department of Tropical Medicine, Mansoura University, Mansoura, Egypt., Youssef Mohamed S; Faculty of Medicine, Department of Internal Medicine, Zagazig University, Zagazig, Egypt., Elfert A; Faculty of Medicine, Tropical medicine and infectious diseases Department, Tanta University, Tanta, Egypt.
Jazyk: angličtina
Zdroj: Liver international : official journal of the International Association for the Study of the Liver [Liver Int] 2021 Mar; Vol. 41 (3), pp. 436-448. Date of Electronic Publication: 2021 Jan 09.
DOI: 10.1111/liv.14775
Abstrakt: Ramadan fasting is obligatory for Muslim healthy adults. However, there are many exemptions from fasting; including patients, whose diseases will be aggravated by fasting. Muslim patients with different liver diseases are frequently seen in the clinics discussing their intent to fast this month with their treating physicians. To answer our patients' inquiries about the expected benefits and/or risks of fasting and delivering them the best care, we carried out this review and we draw advices and recommendations based on the available evidence. A web-based search, combining multiple keywords representing different liver diseases with Ramadan fasting had been carried out. To answer the research question: Do adult Muslim patients with different liver diseases who fast the month of Ramadan have had a deleterious effect on their health in comparison to those who did not fast? Relevant publications were retrieved. No randomized controlled trials were focusing on Ramadan fasting and liver diseases in the filtered databases, eg Cochrane library. Consequently, non-filtered databases, eg PubMed, Google Scholar and Egyptian Knowledge Bank searched and full-text high-quality research articles were carefully analysed to draw recommendations. Other relevant publications with low quality of evidence like case studies and short communications were also reviewed to address practice advices. Although Ramadan fasting was found beneficial for patients with NAFLD, it was found deleterious to patients with Child B and C cirrhosis and patients with peptic ulcer. Patients with chronic hepatitis, Child A cirrhosis and those with non-complicated liver transplant can fast with prefasting assessment and strict follow up.
(© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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