Guideline review: British Society of Gastroenterology/UK-PSC guidelines for the diagnosis and management of primary sclerosing cholangitis

被引:15
|
作者
Nicoletti, Alberto [1 ,2 ,3 ]
Maurice, James B. [1 ,2 ]
Thorburn, Douglas [1 ,2 ]
机构
[1] Royal Free London NHS Fdn Trust, Sheila Sherlock Liver Ctr, London, England
[2] Royal Free London NHS Fdn Trust, UCL Inst Liver & Digest Hlth, London, England
[3] Univ Cattolica Sacro Cuore, Internal Med Gastroenterol & Hepatol, Fdn Policlin Univ Agostino Gemelli IRCCS, Rome, Italy
关键词
primary sclerosing cholangitis; endoscopic retrograde pancreatography; liver cirrhosis; DOSE URSODEOXYCHOLIC ACID; LIVER-TRANSPLANTATION; DOMINANT STRICTURES; MULTICENTER; PROGNOSIS;
D O I
10.1136/flgastro-2019-101343
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
New British Society of Gastroenterology/UK-PSC guidelines have recently discussed the current state-of-the-art on primary sclerosing cholangitis and outlined key elements for the management of this disease. The current lack of effective pharmacological treatments to prevent progression of liver fibrosis to cirrhosis limits our ability to modify the natural history of the disease. However, a personalised approach and structured follow-up could allow earlier diagnosis and management of complications and favour access to liver transplantation, which remains the only available treatment. Our commentary overviews the updates and summarises the key recommendations of the recent guidelines for the management of primary sclerosing cholangitis.
引用
收藏
页码:62 / 66
页数:5
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