Considerations of elderly factors to manage the complication of liver cirrhosis in elderly patients

The aging of the organ function causes sensitivity to the disease progression and need careful consideration for the medical treatment. With the increase of aging population, the opportunity to provide medical treatment for people in very old age is rapidly increasing therefore, the understanding of the various physiological changes of cellular function, size and function of organs are essential for the decision of therapeutic options. Among the various chronic conditions seen in elderly people, we have focused on liver cirrhosis, since despite specific therapeutic options for many of liver diseases including direct acting antivirals for hepatitis C virus, nucleoside analogs for hepatitis B, and corticosteroids for autoimmune hepatitis, there is currently no standard therapy to treat liver cirrhosis, which is the final stage of these liver diseases. Therefore, management of the various symptoms of liver cirrhosis is essential, and aging-related parameters must be considered in the decision making for therapeutic strategies and dosage of the available medicine. In this mini-review, we have summarized the therapeutic options to manage various symptoms of liver cirrhosis, carefully considering the physiological changes of various organs associated with aging.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

World journal of gastroenterology - 25(2019), 15 vom: 21. Apr., Seite 1817-1827

Sprache:

Englisch

Beteiligte Personen:

Kamimura, Kenya [VerfasserIn]
Sakamaki, Akira [VerfasserIn]
Kamimura, Hiroteru [VerfasserIn]
Setsu, Toru [VerfasserIn]
Yokoo, Takeshi [VerfasserIn]
Takamura, Masaaki [VerfasserIn]
Terai, Shuji [VerfasserIn]

Links:

Volltext

Themen:

Aging
Elderly patients
Journal Article
Liver cirrhosis
Quality of life
Review

Anmerkungen:

Date Completed 11.09.2019

Date Revised 25.02.2020

published: Print

Citation Status MEDLINE

doi:

10.3748/wjg.v25.i15.1817

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM296767972