Hepatitis alcohólica: revisión con énfasis en trasplante hepático y alternativas de tratamiento médico

Autores/as

  • David Ríos
  • Dariana Pereira
  • Juan Carlos Restrepo

DOI:

https://doi.org/10.22516/25007440.6

Palabras clave:

Hepatitis alcohólica, trasplante de hígado, tratamiento

Resumen

La hepatitis alcohólica es un síndrome clínico caracterizado por ictericia, ascitis y eventualmente falla hepáti- ca aguda secundarios al consumo de alcohol; la prevalencia de la enfermedad va en aumento como conse- cuencia del incremento de la exposición a factores de riesgo y la mayoría de los pacientes son asintomáticos hasta que se presenta un importante compromiso de la función hepática, lo que dificulta el diagnóstico tem- prano y se traduce en alta morbimortalidad. El trasplante hepático se postula como una opción de tratamiento válida para pacientes seleccionados, con grandes perspectivas a futuro, sin embargo su realización aún es controvertida; por otro lado, existen opciones de tratamiento médico como los esteroides, la pentoxifilina y la n-acetilcisteína, cuyo impacto en la morbimortalidad es respaldada por la medicina basada en la evidencia. Con esta revisión se pretende abordar los conceptos actuales del tratamiento médico y quirúrgico de la hepatitis alcohólica. 

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Lenguajes:

es

Biografía del autor/a

David Ríos

  1. Médico y cirujano. Grupo de Gastrohepatología. Universidad de Antioquia. Hospital Pablo Tobón Uribe. Medellín, Colombia 

Dariana Pereira

  1. Médico y cirujano. Grupo de Gastrohepatología. Universidad de Antioquia. Hospital Pablo Tobón Uribe. Medellín, Colombia 

Juan Carlos Restrepo

  1. Médico Internista-Hepatólogo. Unidad de Hepatología y Trasplante Hepático Hospital Pablo Tobón Uribe. Profesor Titular Facultad de Medicina. Grupo de Gastrohepatología, Universidad de Antioquia. Medellín, Colombia.  

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Publicado

2016-10-28

Cómo citar

Ríos, D., Pereira, D., & Restrepo, J. C. (2016). Hepatitis alcohólica: revisión con énfasis en trasplante hepático y alternativas de tratamiento médico. Revista Colombiana De Gastroenterología, 30(4), 420–430. https://doi.org/10.22516/25007440.6

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