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Geoepidemiologic variation in outcomes of primary sclerosing cholangitis

查看全文 作  者:Tej I [1]Mehta;Simcha [2]Weissman;Brian M [3]Fung;James H [4]Tabibian 高影响力作者 机构地区:[1]Department of Medicine,University of South Dakota Sanford School of Medicine,Sioux Falls,SD 57108,United States;[2]Department of Medicine,Hackensack University-Palisades Medical Center,North Bergen,NJ 07047,United States;[3]Department of Medicine,Olive View-UCLA Medical Center,Sylmar,CA 91342,United States;[4]Department of Medicine,UCLA-Olive View Medical Center,Sylmar,CA 91342,and Health Sciences Clinical Associate Professor,David Geffen School of Medicine at UCLA,Los Angeles,CA 90095,United States高影响力机构 出  处:《World Journal of Hepatology》索引2020年第12卷第4期,共9页高影响力期刊 摘  要:Primary sclerosing cholangitis(PSC)is a chronic,progressive,hepatobiliary disease characterized by inflammation and fibrosis of the intra-and extra-hepatic bile ducts.Its natural history is one that generally progresses towards cirrhosis,liver failure,cholangiocarcinoma,and ultimately disease-related death,with a median liver transplantation-free survival time of approximately 15-20 years.However,despite its lethal nature,PSC remains a heterogenous disease with significant variability in outcomes amongst different regions of the world.There are also many regions where the outcomes of PSC have not been studied,limiting the overall understanding of this disease worldwide.In this review,we present the geoepidemiologic variations in outcomes of PSC,with a focus on survival pre-and post-liver transplantation as well as the concurrence of inflammatory bowel disease and hepatobiliary neoplasia. 关 键 词:CHOLANGIOCARCINOMA Inflammatory BOWEL disease Liver transplantation GEOGRAPHY BILIARY TRACT AUTOIMMUNE
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