Hepatic Steatosis and Steatohepatitis Is the Inevitability of Mixed Genesis

The analysis of the etiological and pathogenetic mechanisms of formation steatosis and steatohepatitis of mixed genesis is presented. It is shown that alcohol remains one of the main etiopathogenetic factors in the development of the hepatic steatosis and steatohepatitis, the role of which is observ...

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Main Author: Yu.M. Stepanov
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2014-11-01
Series:Gastroenterologìa
Subjects:
Online Access:http://gastro.zaslavsky.com.ua/article/view/82089
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author Yu.M. Stepanov
author_facet Yu.M. Stepanov
author_sort Yu.M. Stepanov
collection DOAJ
description The analysis of the etiological and pathogenetic mechanisms of formation steatosis and steatohepatitis of mixed genesis is presented. It is shown that alcohol remains one of the main etiopathogenetic factors in the development of the hepatic steatosis and steatohepatitis, the role of which is observed in 46–65 % patients. There are strong evidence confirming that the obesity and insulin resistance are the independent factors of progression of steatosis and steatohepatitis of alcoholic, non-alcoholic and mixed etiology. The simultaneous influence of several etiological factors leads to the immediate development of steatosis and steatohepatitis in 95 % patients. Many trigger factors can be considered as complementary factors of liver damage of mixed genesis. Common approaches to the diagnosis, treatment, and the main group of drugs for the correction of steatosis and steatohepatitis of mixed origin are presented.
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spelling doaj.art-2551ff2848a94d0dbfcdeb9fb3bfeb252022-12-22T04:09:36ZengZaslavsky O.Yu.Gastroenterologìa2308-20972518-78802014-11-01484.5413614210.22141/2308-2097.4.54.2014.8208982089Hepatic Steatosis and Steatohepatitis Is the Inevitability of Mixed GenesisYu.M. Stepanov0SI «Institute of Gastroenterology of NAMS of Ukraine», Dnipropetrovsk, UkraineThe analysis of the etiological and pathogenetic mechanisms of formation steatosis and steatohepatitis of mixed genesis is presented. It is shown that alcohol remains one of the main etiopathogenetic factors in the development of the hepatic steatosis and steatohepatitis, the role of which is observed in 46–65 % patients. There are strong evidence confirming that the obesity and insulin resistance are the independent factors of progression of steatosis and steatohepatitis of alcoholic, non-alcoholic and mixed etiology. The simultaneous influence of several etiological factors leads to the immediate development of steatosis and steatohepatitis in 95 % patients. Many trigger factors can be considered as complementary factors of liver damage of mixed genesis. Common approaches to the diagnosis, treatment, and the main group of drugs for the correction of steatosis and steatohepatitis of mixed origin are presented.http://gastro.zaslavsky.com.ua/article/view/82089steatosissteatohepatitisalcoholobesityinsulin resistanceetiopathogenesisdiagnosiscorrection
spellingShingle Yu.M. Stepanov
Hepatic Steatosis and Steatohepatitis Is the Inevitability of Mixed Genesis
Gastroenterologìa
steatosis
steatohepatitis
alcohol
obesity
insulin resistance
etiopathogenesis
diagnosis
correction
title Hepatic Steatosis and Steatohepatitis Is the Inevitability of Mixed Genesis
title_full Hepatic Steatosis and Steatohepatitis Is the Inevitability of Mixed Genesis
title_fullStr Hepatic Steatosis and Steatohepatitis Is the Inevitability of Mixed Genesis
title_full_unstemmed Hepatic Steatosis and Steatohepatitis Is the Inevitability of Mixed Genesis
title_short Hepatic Steatosis and Steatohepatitis Is the Inevitability of Mixed Genesis
title_sort hepatic steatosis and steatohepatitis is the inevitability of mixed genesis
topic steatosis
steatohepatitis
alcohol
obesity
insulin resistance
etiopathogenesis
diagnosis
correction
url http://gastro.zaslavsky.com.ua/article/view/82089
work_keys_str_mv AT yumstepanov hepaticsteatosisandsteatohepatitisistheinevitabilityofmixedgenesis