Novel Endoscopic Bariatric Therapies for the Management of Nonalcoholic Steatohepatitis.

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Khushboo Gala, Farah Abdul Razzak, Babusai Rapaka, Barham K Abu Dayyeh
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引用次数: 0

Abstract

Obesity is strongly associated with nonalcoholic fatty liver disease as well as advanced forms of the disease such as nonalcoholic steatohepatitis (NASH), cirrhosis, and hepatocellular carcinoma. While lifestyle and diet modifications have been the cornerstone of treatment for NASH thus far, they are only effective for less than half of the patients. New endoscopic bariatric therapies (EBTs) have already proved to be safe and effective for the treatment of obesity and type 2 diabetes mellitus, and may provide an intermediate, less invasive, cost-effective option for patients with NASH. In this review, we aim to describe the data and evidence as well as outline future areas of development for endobariatric therapies for the treatment of NASH. In conclusion, EBTs present an effective and safe therapeutic modality for use in the growing pandemic of obesity-related liver disease and should be investigated further with large-scale trials in this patient population.

治疗非酒精性脂肪性肝炎的新型内镜减重疗法
肥胖与非酒精性脂肪性肝病以及非酒精性脂肪性肝炎(NASH)、肝硬化和肝细胞癌等疾病的晚期形式密切相关。虽然生活方式和饮食的改变是迄今为止治疗NASH的基石,但它们只对不到一半的患者有效。新的内镜下减肥疗法(ebt)已经被证明是安全有效的治疗肥胖和2型糖尿病,并可能为NASH患者提供一种中间的、侵入性较小的、成本效益高的选择。在这篇综述中,我们的目的是描述数据和证据,并概述未来发展的领域内的治疗NASH的减肥疗法。总之,在肥胖相关肝病日益流行的情况下,ebt是一种有效且安全的治疗方式,应该在这一患者群体中进行进一步的大规模试验。
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来源期刊
Seminars in liver disease
Seminars in liver disease 医学-胃肠肝病学
CiteScore
8.20
自引率
2.40%
发文量
38
期刊介绍: Seminars in Liver Disease is a quarterly review journal that publishes issues related to the specialties of hepatology and gastroenterology. As the premiere review journal in the field, Seminars in Liver Disease provides in-depth coverage with articles and issues focusing on topics such as cirrhosis, transplantation, vascular and coagulation disorders, cytokines, hepatitis B & C, Nonalcoholic Steatosis Syndromes (NASH), pediatric liver diseases, hepatic stem cells, porphyrias as well as a myriad of other diseases related to the liver. Attention is also given to the latest developments in drug therapy along with treatment and current management techniques. Seminars in Liver Disease publishes commissioned reviews. Unsolicited reviews of an exceptional nature or original articles presenting remarkable results will be considered, but case reports will not be published.
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