The descending pathophysiology model of cholestatic liver disease
10.3760/cma.j.issn.1007-3418.2019.05.001
- VernacularTitle: 胆汁淤积性肝病的"下降"病理生理学模式
- Author:
Xiaobo CAI
1
;
Lungen LU
Author Information
1. Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200080, China
- Publication Type:Journal Article
- Keywords:
Cholestasis;
Diagnosis;
Treatment;
Pathophysiology
- From:
Chinese Journal of Hepatology
2019;27(5):321-324
- CountryChina
- Language:Chinese
-
Abstract:
Intrahepatic cholestasis is a pathological condition in which the synthesis, secretion, and excretion of bile are blocked, and thus the bile does not flow normally into the duodenum and bloodstream. According to cytological damage site, it can be divided into hepatocellular cholestasis, biliary duct cell cholestasis and mixed cell cholestasis. The two kinds of pathophysiological models [ascending or upstream (damage begins with cholangiocytes and then extends to the hepatocytes) and descending or downstream (the damage starts from the liver cells and then extends to the bile duct cells)] has distinct features in the process of disease occurrence and development. This article mainly elaborates the "descending" pathophysiological model of cholestatic liver disease (hepatocytic damage progresses to biliary duct cell), and further explores its etiology, pathogenesis and treatment methods.
