Cholestasis in the Hospitalized Patient

作者: Anne M. Larson

DOI: 10.1007/978-1-4939-1013-7_11

关键词: Hematopoietic stem cell transplantationJaundiceCholestasisLiver injuryParenteral nutritionSepsisGastroenterologyInternal medicineMedicineBile acidLiver disease

摘要: Cholestasis results from the accumulation of bile acids within liver, ultimately leading to hepatotoxicity. There are multiple causes cholestasis in hospitalized patient, and this chapter focuses on hematopoietic stem cell transplant (HSCT) recipient. jaundice common setting HSCT. The differential is broad includes extrahepatic biliary obstruction, preexisting liver disease, sepsis, hemolysis, parenteral nutrition, drug-induced injury, graft-versus-host disease (GVHD), sinusoidal obstruction syndrome. Additionally, may be multifactorial etiology. Understanding risks timing cholestatic injury crucial its diagnosis. Preventive measures help minimize injury; however, specific treatments lacking.

参考文章(247)
L Brugieres, O Hartmann, G Vassal, E Benhamou, J Lemerle, V Méresse, D Valteau-Couanet, Risk factors for hepatic veno-occlusive disease after high-dose busulfan-containing regimens followed by autologous bone marrow transplantation: a study in 136 children. Bone Marrow Transplantation. ,vol. 10, pp. 135- 141 ,(1992)
B Rio, G Andreu, A Nicod, JP Arrago, F Dutrillaux, M Samama, R Zittoun, Thrombocytopenia in venocclusive disease after bone marrow transplantation or chemotherapy. Blood. ,vol. 67, pp. 1773- 1776 ,(1986) , 10.1182/BLOOD.V67.6.1773.1773
H M Shulman, W Hinterberger, Hepatic veno-occlusive disease--liver toxicity syndrome after bone marrow transplantation. Bone Marrow Transplantation. ,vol. 10, pp. 197- 214 ,(1992)
O Ringden, T Ruutu, M Remberger, J Nikoskelainen, L Volin, L Vindelov, T Parkkali, S Lenhoff, B Sallerfors, P Ljungman, A Randomized Trial Comparing Busulfan With Total Body Irradiation as Conditioning in Allogeneic Marrow Transplant Recipients With Leukemia: A Report From the Nordic Bone Marrow Transplantation Group Blood. ,vol. 83, pp. 2723- 2730 ,(1994) , 10.1182/BLOOD.V83.9.2723.2723
F R Appelbaum, K Doney, J E Sanders, R Storb, E D Thomas, R P Witherspoon, H J Deeg, R A Clift, K M Sullivan, C D Buckner, Marrow transplantation for acute nonlymphoblastic leukemia in first remission: toxicity and long-term follow-up of patients conditioned with single dose or fractionated total body irradiation. Bone Marrow Transplantation. ,vol. 1, pp. 151- 157 ,(1986)
EM Faioni, A Krachmalnicoff, SI Bearman, AB Federici, A Decarli, AM Gianni, GB McDonald, PM Mannucci, Naturally occurring anticoagulants and bone marrow transplantation: plasma protein C predicts the development of venocclusive disease of the liver Blood. ,vol. 81, pp. 3458- 3462 ,(1993) , 10.1182/BLOOD.V81.12.3458.3458
D. J. Nugent, H. M. Shulman, A. M. Gown, Hepatic veno-occlusive disease after bone marrow transplantation. Immunohistochemical identification of the material within occluded central venules. American Journal of Pathology. ,vol. 127, pp. 549- 558 ,(1987)
Eli D. Ehrenpreis, Seymour Ehrenpreis, CYTOCHROME P450 Role in Drug-Induced Hepatotoxicity Clinics in Liver Disease. ,vol. 2, pp. 457- 470 ,(1998) , 10.1016/S1089-3261(05)70021-0
Hans Hägglund, Mats Remberger, Sven Klaesson, Berit Lönnqvist, Per Ljungman, Olle Ringdén, Norethisterone Treatment, a Major Risk-Factor for Veno-Occlusive Disease in the Liver After Allogeneic Bone Marrow Transplantation Blood. ,vol. 92, pp. 4568- 4572 ,(1998) , 10.1182/BLOOD.V92.12.4568
Dong-Zong Hung, Yen-Chun Peng, Chi-Sen Chang, Chun-Fang Tung, Wei-Hsiung Hu, Dar-Yu Yang, Chun-Bin Tung, Extremely high levels of alkaline phosphatase in adult patients as a manifestation of bacteremia. Hepato-gastroenterology. ,vol. 52, pp. 1347- 1350 ,(2005)