Zusammenfassung
Als Erkrankungen, die pathogenetisch eng mit dem metabolischen Syndrom in Zusammenhang stehen, sind NAFLD und NASH in der westlichen Zivilisation eine der häufigsten Ursachen chronischer Lebererkrankungen. Vor dem Hintergrund einer immer weiter zunehmenden Prävalenz von Adipositas und Diabetes mellitus Typ 2 kommen Therapiekonzepten für diese Hepatopathien große Bedeutung zu. Eine besondere Herausforderung stellt die NASH bei Patienten ohne typische Konstellation des metabolischen Syndroms dar. In diesem Beitrag werden die bislang vorliegenden Daten zur gezielten Behandlung der NASH zusammenfasst.
Abstract
Non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH) are closely associated with the metabolic syndrome and are regarded as very important conditions leading to chronic liver disease in western countries. Considering the constantly increasing incidence in obesity and type 2 diabetes mellitus, new therapeutic concepts especially in the treatment of NASH are urgently needed. Patients with NASH lacking characteristic features of the metabolic syndrome are particularly challenging in this context. In this review an overview of currently available data is provided that should be considered in the care of patients with NASH.
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Schempf, U., Lauer, U., Gregor, M. et al. NASH – eine ungelöste therapeutische Herausforderung. Gastroenterologe 5, 123–128 (2010). https://doi.org/10.1007/s11377-009-0370-7
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DOI: https://doi.org/10.1007/s11377-009-0370-7
Schlüsselwörter
- Nichtalkoholische Fettlebererkrankung (NAFLD)
- Nicht alkoholische Steatohepatitis (NASH)
- Metabolisches Syndrom
- Lifestyle-Intervention
- Insulinresistenz