Recompensation in MASLD-related cirrhosis via metabolic bariatric surgery.

IF 11.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Gong Feng, Yu Han, Wah Yang, Scott Shikora, Kamal Mahawar, Tan To Cheung, Giovanni Targher, Christopher D Byrne, Virginia Hernandez-Gea, Herbert Tilg, Ming-Hua Zheng
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引用次数: 0

Abstract

The prognosis of patients with decompensated cirrhosis is poor, with significantly increased liver-related mortality rates. With the rising tide of decompensated cirrhosis associated with metabolic dysfunction-associated steatotic liver disease (MASLD), the role of metabolic bariatric surgery (MBS) in achieving hepatic recompensation is garnering increasing attention. However, the complexity of preoperative assessment, the risk of postoperative disease recurrence, and the potential for patients to experience surgical complications of the MBS present challenges. In this opinion article we analyze the potential of MBS to induce recompensation in MASLD-related cirrhosis, discuss the mechanisms by which MBS may affect recompensation, and compare the characteristics of different MBS procedures; we highlight the therapeutic potential of MBS in MASLD-related cirrhosis recompensation and advocate for research in this complex area.

通过代谢减肥手术对 MASLD 相关性肝硬化进行补偿。
失代偿期肝硬化患者的预后很差,与肝脏相关的死亡率明显升高。随着代谢功能障碍相关性脂肪性肝病(MASLD)导致的失代偿期肝硬化的发病率不断上升,代谢减肥手术(MBS)在实现肝功能代偿方面的作用日益受到关注。然而,术前评估的复杂性、术后疾病复发的风险以及患者出现代谢减重手术并发症的可能性都给我们带来了挑战。在这篇观点文章中,我们分析了MBS诱导MASLD相关肝硬化复代偿的潜力,讨论了MBS可能影响复代偿的机制,并比较了不同MBS手术的特点;我们强调了MBS在MASLD相关肝硬化复代偿中的治疗潜力,并倡导在这一复杂领域开展研究。
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来源期刊
Trends in Endocrinology and Metabolism
Trends in Endocrinology and Metabolism 医学-内分泌学与代谢
CiteScore
20.10
自引率
0.00%
发文量
98
审稿时长
82 days
期刊介绍: Trends in Endocrinology and Metabolism (TEM) stands as a premier Reviews journal in the realms of metabolism and endocrinology. Our commitment is reflected in the publication of refined, concise, and highly impactful articles that delve into cutting-edge topics, encompassing basic, translational, and clinical aspects. From state-of-the-art treatments for endocrine diseases to groundbreaking developments in molecular biology, TEM provides comprehensive coverage. Explore recent advancements in diabetes, endocrine diseases, obesity, neuroendocrinology, immunometabolism, molecular and cellular biology, and a myriad of other areas through our journal. TEM serves as an invaluable resource for researchers, clinicians, lecturers, teachers, and students. Each monthly issue is anchored by Reviews and Opinion articles, with Reviews meticulously chronicling recent and significant developments, often contributed by leading researchers in specific fields. Opinion articles foster debate and hypotheses. Our shorter pieces include Science & Society, shedding light on issues at the intersection of science, society, and policy; Spotlights, which focus on exciting recent developments in the literature, and single-point hypotheses as Forum articles. We wholeheartedly welcome and encourage responses to previously published TEM content in the form of Letters.
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