지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 404 - 410 (7page)
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초록· 키워드
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The most common finding related to nonalcoholic steatohepatitis is obesity, but a status of severe malnutrition can also induce the steatohepatitis. The authors report a rare case of steatohepatitis leading to hepatic decompensation caused by malnutrition after pancreaticoduodenectomy. A 68-year-old female patient who had been previously diagnosed with pancreatic cancer and had undergone pancreaticoduodenectomy 5 months previously presented with abdominal distension. Routine CT performed 3 months after the surgery revealed severe fatty liver without evidence of tumor recurrence. After undergoing pancreaticoduodenectomy her food intake had reduced, and as a result she had lost 7 kg of body weight over 2 months. At this admission, CT revealed moderate amounts of ascites without tumor recurrence.
Furthermore, her albumin and lipid profile levels were markedly decreased, and she had a flapping tremor and slurred speech suggestive of hepatic encephalopathy. Her liver biopsy findings were consistent with steatohepatitis and disclosed macrovesicular steatosis without definite fibrosis. After careful nutritional control, her symptoms disappeared and her laboratory findings improved. (Clin Mol Hepatol 2012;18:404-410)
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등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
Amarapurkar DN / 2004 / Clinical spectrum and natural history of non-alcoholic steatohepatitis with normal alanine aminotransferase values / Trop Gastroenterol 25:130~134
Mofrad P / 2003 / Clinical and histologic spectrum of nonalcoholic fatty liver disease associated with normal ALT values / Hepatology 37:1286~1292
Boateng AA / 2010 / Refeeding syndrome: treatment considerations based on collective analysis of literature case reports / Nutrition 26:156~167
Browning JD / 2004 / Molecular mediators of hepatic steatosis and liver injury / J Clin Invest 114 : 147 ~ 152
De Caprio C / 2006 / Severe acute liver damage in anorexia nervosa: two case reports / Nutrition 22 : 572 ~ 575
Mofrad P / 2003 / Clinical and histologic spectrum of nonalcoholic fatty liver disease associated with normal ALT values / Hepatology 37:1286~1292
Boateng AA / 2010 / Refeeding syndrome: treatment considerations based on collective analysis of literature case reports / Nutrition 26:156~167
Browning JD / 2004 / Molecular mediators of hepatic steatosis and liver injury / J Clin Invest 114 : 147 ~ 152
De Caprio C / 2006 / Severe acute liver damage in anorexia nervosa: two case reports / Nutrition 22 : 572 ~ 575
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