Liver disease in pregnancy

被引:309
作者
Joshi, Deepak [1 ]
James, Andra [2 ]
Quaglia, Alberto [1 ]
Westbrook, Rachel H. [1 ]
Heneghan, Michael A. [1 ]
机构
[1] Kings Coll Hosp London, Inst Liver Studies, London SE5 9RS, England
[2] Duke Univ, Med Ctr, Dept Maternal Fetal Med Obstet & Gynaecol, Durham, NC USA
关键词
ACUTE FATTY LIVER; HERPES-SIMPLEX-VIRUS; CIRCULATING ANGIOGENIC FACTORS; ACUTE VIRAL-HEPATITIS; LOW PLATELETS HELLP; INTRAHEPATIC CHOLESTASIS; HYPEREMESIS GRAVIDARUM; RISK-FACTORS; URSODEOXYCHOLIC ACID; FULMINANT-HEPATITIS;
D O I
10.1016/S0140-6736(09)61495-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Severe liver disease in pregnancy is rare. Pregnancy-related liver disease is the most frequent cause of liver dysfunction in pregnancy and provides a real threat to fetal and maternal survival. A rapid diagnosis differentiating between liver disease related and unrelated to pregnancy is required in women who present with liver dysfunction during pregnancy. Research has improved our understanding of the pathogenesis of pregnancy-related liver disease, which has translated into improved maternal and fetal outcomes. Here, we provide an overview of liver diseases that occur in pregnancy, an update on the key mechanisms involved in their pathogenesis, and assessment of available treatment options.
引用
收藏
页码:594 / 605
页数:12
相关论文
共 108 条
[1]   Pregnancy and cirrhosis of the liver [J].
Aggarwal, N ;
Sawnhey, H ;
Suri, V ;
Vasishta, K ;
Jha, M ;
Dhiman, RK .
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, 1999, 39 (04) :503-506
[2]  
[Anonymous], COCHRANE DATABASE SY
[3]  
[Anonymous], ANT CAR ROUT CAR HLT
[4]  
Armenti Vincent T, 2005, Clin Transpl, P69
[5]   Recurrent acute fatty liver of pregnancy [J].
Bacq, Yannick ;
Assor, Philippe ;
Gendrot, Chantal ;
Perrotin, Franck ;
Scotto, Beatrice ;
Andres, Christian .
GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE, 2007, 31 (12) :1135-1138
[6]  
Banait Vaibhav S, 2007, Indian J Gastroenterol, V26, P6
[7]   A 20-Year Single-Center Experience with Acute Liver Failure During Pregnancy: Is the Prognosis Really Worse? [J].
Bhatia, Vikram ;
Singhal, Amit ;
Panda, Subrat Kumar ;
Acharya, Subrat Kumar .
HEPATOLOGY, 2008, 48 (05) :1577-1585
[8]   Ante-natal screening and post-natal follow-up of hepatitis B in the West Midlands of England [J].
Bhattacharya, S. ;
O'Donnell, K. ;
Dudley, T. ;
Kennefick, A. ;
Osman, H. ;
Boxall, E. ;
Mutimer, D. .
QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 2008, 101 (04) :307-312
[9]   Treatment of Wilson's disease with zinc. XVII: Treatment during pregnancy [J].
Brewer, GJ ;
Johnson, VD ;
Dick, RD ;
Hedera, P ;
Fink, JK ;
Kluin, KJ .
HEPATOLOGY, 2000, 31 (02) :364-370
[10]   Fetal fatty acid oxidation defects and maternal liver disease in pregnancy [J].
Browning, MF ;
Levy, HL ;
Wilkins-Haug, LE ;
Larson, C ;
Shih, VE .
OBSTETRICS AND GYNECOLOGY, 2006, 107 (01) :115-120