Pathophysiological-based treatments of complications of cirrhosis
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Pathophysiological-based treatments of complications of cirrhosis. / Møller, Søren; Kimer, Nina; Barlose, Mads; Bendtsen, Flemming.
In: Scandinavian Journal of Gastroenterology, Vol. 55, No. 4, 2020, p. 383-394.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Pathophysiological-based treatments of complications of cirrhosis
AU - Møller, Søren
AU - Kimer, Nina
AU - Barlose, Mads
AU - Bendtsen, Flemming
PY - 2020
Y1 - 2020
N2 - Detailed knowledge and understanding of the pathophysiological mechanisms and changes in hepatic and splanchnic function leading to the development of haemodynamic changes and portal hypertension in patients with cirrhosis are essential since it guides the search for targets to ameliorate liver-related abnormalities. Recent research has focused on the gut-liver axis, changes in intestinal permeability, translocation of bacterial products, and inflammation as important drivers of haemodynamic alterations and thereby targets for treatment. Additionally, treatment strategies should focus on microbiotic modulation, antiangiogenics, anti-inflammatory strategies, and modulation of bile acid metabolism. This paper aims to review contemporary pathophysiological-based treatment principles of the major complications of cirrhosis and portal hypertension and future targets for treatment.
AB - Detailed knowledge and understanding of the pathophysiological mechanisms and changes in hepatic and splanchnic function leading to the development of haemodynamic changes and portal hypertension in patients with cirrhosis are essential since it guides the search for targets to ameliorate liver-related abnormalities. Recent research has focused on the gut-liver axis, changes in intestinal permeability, translocation of bacterial products, and inflammation as important drivers of haemodynamic alterations and thereby targets for treatment. Additionally, treatment strategies should focus on microbiotic modulation, antiangiogenics, anti-inflammatory strategies, and modulation of bile acid metabolism. This paper aims to review contemporary pathophysiological-based treatment principles of the major complications of cirrhosis and portal hypertension and future targets for treatment.
KW - Portal hypertension
KW - ascites
KW - oesophageal varices
KW - hyperdynamic circulation
KW - hepatorenal syndrome
KW - hepatopulmonary syndrome
KW - NITRIC-OXIDE SYNTHASE
KW - PORTAL-HYPERTENSION RELATION
KW - HEPATIC STELLATE CELLS
KW - ARGININE METHYL-ESTER
KW - CHRONIC LIVER-FAILURE
KW - NECROSIS-FACTOR-ALPHA
KW - PORTOPULMONARY HYPERTENSION
KW - HEPATOPULMONARY SYNDROME
KW - BETA-BLOCKERS
KW - HYPERDYNAMIC CIRCULATION
U2 - 10.1080/00365521.2020.1744709
DO - 10.1080/00365521.2020.1744709
M3 - Review
C2 - 32233873
VL - 55
SP - 383
EP - 394
JO - Scandinavian Journal of Gastroenterology. Supplement
JF - Scandinavian Journal of Gastroenterology. Supplement
SN - 0085-5928
IS - 4
ER -
ID: 250546555