Review: Treatment options for nonalcoholic fatty liver disease
| Autor: | Shivakumar Chitturi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: | |
| Zdroj: | Therapeutic Advances in Gastroenterology, Vol 1 (2008) |
| Druh dokumentu: | article |
| ISSN: | 1756-283X 1756283X |
| DOI: | 10.1177/1756283X08096951 |
| Popis: | Nonalcoholic fatty liver disease comprises a range of disorders from steatosis and steatohepatitis through to cirrhosis. Nonalcoholic steatohepatitis can progress to cirrhosis and liver-related death. Therefore, managing this common disorder is becoming an important public health issue. Lifestyle measures are commonly suggested but robust data are lacking. Trials with antioxidants (vitamin E, betaine) as well as cytoprotectants (ursodeoxycholic acid) have been disappointing. While data for insulin sensitizers such as metformin are less conclusive, thiazolidinediones appear promising. However, not all patients respond to thiazolidinediones. Moreover, issues related to weight gain, cardiovascular risk need to be addressed. The use of endocannabinoid antagonists and insulin secretagogues are novel strategies to combat this disorder. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
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