New Concepts on Pathogenesis and Diagnosis of Liver Fibrosis; A Review Article.

Liver fibrosis is a potentially reversible response to hepatic insults, triggered by different chronic diseases most importantly viral hepatitis, alcoholic, and nonalcoholic fatty liver disease. In the course of the chronic liver disease, hepatic fibro-genesis may develop, which is attributed to var...

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Detalles Bibliográficos
Publicado en:Middle East Journal of Digestive Diseases Vol. 8; no. 3; pp. 166 - 179
Autores principales: Ebrahimi, Hedyeh, Naderian, Mohammadreza, Sohrabpour, Amir Ali
Formato: review tables/charts Journal Article
Publicado: Iranian Association of Gastroenterology & Hepatology Jul2016
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Liver fibrosis is a potentially reversible response to hepatic insults, triggered by different chronic diseases most importantly viral hepatitis, alcoholic, and nonalcoholic fatty liver disease. In the course of the chronic liver disease, hepatic fibro-genesis may develop, which is attributed to various types of cells, molecules, and pathways. Activated hepatic stellate cell (HSC), the primary source of extracellular matrix (ECM), is fundamental in pathophysiology of fibrogenesis, and thus is the most attractable target for reversing liver fibrosis. Although, liver biopsy has long been considered as the gold standard for diagnosis and staging of hepatic fibrosis, assessing progression and regression by biopsy is hampered by its limitations. We provide recent views on noninvasive approaches including serum biomarkers and radiologic techniques.