Pharmacologic Management of Obesity after Liver Transplantation: A Critical Review.

Annals of gastroenterology and digestive disorders Pub Date : 2023-01-01 Epub Date: 2023-06-07
Frhaan Zahrawi, Sawsan Fathma, Wajahat Z Mehal, Bubu A Banini
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Abstract

Post liver transplant obesity is associated with the development of metabolic disorders such as diabetes mellitus and nonalcoholic fatty liver disease and is a strong predictor of post-transplant mortality. Anti-obesity pharmacotherapy could serve as an effective adjunct to lifestyle modification in the post-transplant setting. Currently, utilization of anti-obesity medication in post liver transplant patients is limited by scarce data on their efficacy and safety in the post-transplant setting. Newer classes of anti-obesity medications, including the glucagon-like peptide 1 agonists (GLP-1) do not only help with weight loss but are effective anti-diabetic agents and are in further development for their potential hepatoprotective and renoprotective effects and reduction in cardiovascular risk. The objective of this manuscript was to critically review the efficacy and safety of anti-obesity pharmacotherapy in post-liver transplant patients.

肝移植后肥胖症的药物治疗:重要综述。
肝移植后肥胖与糖尿病和非酒精性脂肪肝等代谢性疾病的发生有关,也是预测移植后死亡率的一个重要因素。抗肥胖药物治疗可作为移植后生活方式调整的有效辅助手段。目前,由于有关抗肥胖药物在肝移植术后的疗效和安全性的数据很少,因此肝移植术后患者对这些药物的使用受到了限制。包括胰高血糖素样肽1激动剂(GLP-1)在内的新型抗肥胖药物不仅有助于减轻体重,而且是有效的抗糖尿病药物,其潜在的保肝、保肾和降低心血管风险的作用正在进一步开发中。本手稿旨在对肝移植后患者抗肥胖药物治疗的有效性和安全性进行严格审查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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