Hígado graso no alcoholic, among the three main causes of hepatic transplant in the island

Hypoglycemic alcohol consumption (EHGNA) is the accumulation of grass in the hygiene that is not caused by consuming alcohol. The EHGNA is strictly related to the above.

José Rivera Acosta, gastroenterologist and transplant hepatologist at Hospital Auxilio Mutuo.

Marcela Moreno Wilches
Agencia Latina de Noticias Medicina y Salud Pública

An exclusive interview with the magazine of Medicina y Salud Pública, the doctor José Rivera Acosta, gastroenterologist and hepatologist of transplant at the Hospital Auxilio Mutuo, was treated to the condition of healthy alcoholic beverages (NAFLD, by his English seals) as a disease in which he accumulates grass. Y, the state of alcoholism (NASH), a form of NAFLD in which, in addition to the accumulation of grass in the hygiene, there is inflammation and lesion of the hepatic cells.

The specialist indicated MSP now that he is working on his patients in stages 2 and 3, there are stages of fibrosis that he has not been diagnosed with cirrhosis. These are variants of 1, 2, 3 or 4, in which the mayor, is the one who is considered as cirrhosis.

In fact, there is a great need for research, because there is no medicine approved for it. As the emergency is mainly on the campus of the pharmacotherapy group of patients with this disease, with the end of modifying the risks that patients have with obesity, diabetes and cholesterol problems ”, indicates the specialist.

As a matter of fact, as of now there is no treatment therapeutic pharmacy approved by the FDA for the treatment of this disease and the importance of creating research protocols for this condition.

El Dr. Rivera, was reluctant to conclude that, if the disease is identified at a temporary stage the condition is reversible, while the cirrhosis by definition is considered an irreversible term for fibrosis in the higado.

The most important in these patients is to modify their metabolic risks, and therefore high alcohol-free NASH, which is the case in which there is inflammation in the hygiene, there is other metabolic disorder such as alcohol, diabetes, or problems of lipid.

Demographic data

“Patients can modify the levels of metabolic stresses by combining risk and increasing a 100% increase. In the obese patient, log that only weight, adhere to the diet, create exercise routines, help to reverse the progress of the illness ”, explained the hepatologist.

También is the key owner of the mayor’s control over patients with conditions such as hypertension or diabetes, without embarrassment, it is not implied, for example, that all diabetic patients develop unhygienic high alcoholic alcohol levels or that the condition can be presented properly meta of the research studies, can identify that white potentials hacen that these patients develop the condition and others that no.

Prevalence in Puerto Rico

The prevalence in Puerto Rico is similar to the United States and the world level, it is a condition that is increasing. In studies that are conducted only with biopsy, it is believed that the prevalence of the mayor in some sub-populations, for example, in Hispanos, the prevalence is very high and there are precisely the classical pathogens, while only Asian patients are observed delgados y esto es curioso.

Hygiene fat in alcoholics is a prevalent illness, especially in patients who have a high risk of metabolic stress, obesity, sedentary, insulin resistance or diabetes, which has a liquid problem, because of which it is important to be alert to studies from here the end of not developing a hepatic terminal disease.

Alert signs of condition

Many patients detect the condition of practicing laboratory routines for other conditions, alterations in the hepatic enzymes, which are an indirect marker of inflammation in patients who perform sonograms and other types of images, helen arrogate .

The condition of hígado graso geen alcoholic is very similar to patients with alcoholic hepatitis, without embarrassment, assuming that patients consume a minimum amount of alcohol mark the importance of empowering to study nursing, while the Mayor of patients is obese.

Studies

In addition to the condition of hygienic obesity in alcoholics, it is one of the three main causes for the evaluation of hepatic transplant in Puerto Rico, the Mayor of the studies is based on the multidisciplinary way to treat the diet and exercise, by law that in the camp of health has created a career with the end of medical therapy therapy to treat these patients.

Many of the current studies evaluating drugs that are antagonists of a receptor, vernesoid, Capable of regulating the metabolic rate of biliary acids in a manner that creates a less inflammatory atmosphere in the higado, to modify the type of biliary acid that is in the patient, making it lower the inflammation by accumulating liquids in the higado“, Explains Dr. Rivera.

In fact, the Farnesoid X-receptor is a patient-friendly, high-throughput alcohol-free drug, as are other molecular studies of other pharmaceutical cases.

We believe that the cardiovascular risk in patients with severe alcohol abuse increases with a sign of cardiovascular disease, as well as the modifications that are also beneficial in this camp for patients ”, dijo el doctor an MSP.

Although the condition is detected and felt between the quarter and the fifth decade, there is a register of cases including pediatric population affecting women and men.