アブストラクト
Title | 肝硬変の合併症対策 |
---|---|
Subtitle | 今月のテーマ (総説) 新しい肝硬変診療 〜ガイドライン2020を紐解く〜 |
Authors | 徳本良雄, 日浅陽一1) |
Authors (kana) | |
Organization | 1)愛媛大学大学院消化器・内分泌・代謝内科学 |
Journal | 日本消化器病学会雑誌 |
Volume | 118 |
Number | 1 |
Page | 30-40 |
Year/Month | 2021 / 1 |
Article | 報告 |
Publisher | 日本消化器病学会 |
Abstract | 要旨:肝硬変の診療にあたっては門脈圧亢進症, 腹水, 肝性脳症など多彩な合併症の適切な管理が生命予後の改善に直結する. わが国では腹水や肝性脳症に対する新規薬剤が使用可能となり治療選択肢が広がることで, 肝硬変の合併症に対する治療戦略に大きな変化がみられている. 一方で, 肝硬変の合併症は多岐にわたり, サルコペニアや門脈肺高血圧症などのさらなる病態解明や治療法の開発が望まれる. 本稿では肝硬変の合併症対策についてのクリニカルクエスチョンに対する回答として, 新ガイドラインの考え方と今後の課題について概説する. |
Practice | 臨床医学:内科系 |
Keywords | 門脈圧亢進症, 腹水, 肝腎症候群, 肝性脳症, サルコペニア |
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