1.Advances in the treatment of liver cirrhosis with portal vein thrombosis
Xiaoke LI ; Xinle YANG ; Tong WANG ; Shuwen XUE ; Xiaolin GUO ; Huifan JI
Journal of Clinical Hepatology 2021;37(7):1690-1693.
Portal vein thrombosis (PVT) is one of the most common complications of liver cirrhosis. Due to coagulation disorder and the risk of bleeding in liver cirrhosis, there are many controversies over the treatment of liver cirrhosis with PVT in clinical practice. Common therapies for PVT include anticoagulant therapy, intervention, and thrombolysis. This article elaborates on the current status of the treatment of liver cirrhosis with PVT, in order to provide help for the development of standard and reasonable clinical treatment strategies.
2.Current status of research on the prognostic markers for acute-on-chronic liver failure
Jian LI ; Yaqiu DU ; Dezhao LI ; Huifan JI ; Chenggang ZHANG ; Qingxia LIU ; Xiaolin GUO
Journal of Clinical Hepatology 2021;37(11):2701-2705
Acute-on-chronic liver failure (ACLF) is a syndrome characterized by multiple organ failure and high short-term mortality rate, and it has always been a research hotspot in the field of severe liver diseases. Therefore, early and accurate risk stratification and timely intervention are of great significance to improve prognosis. This article summarizes the serum biomarkers identified in recent years for evaluating the prognosis of patients with ACLF, and it is pointed out that new serum biomarkers have an important guiding significance in the prognostic evaluation of ACLF patients.
4.Changes in intestinal microbiota and application of probiotics in patients with acute pancreatitis
Yanqing LYU ; Jiajie LI ; Kunyu LIU ; Ruhua GUO ; Huifan JI
Journal of Clinical Hepatology 2023;39(12):2970-2977
Intestinal microbiota is the most complex and important microecosystem in the human body, and gut microbiota dysbiosis is closely associated with the development and progression of acute pancreatitis. Targeted regulation of intestinal microecology in assisting the treatment of acute pancreatitis has attracted more attention in recent years. This article describes the changes in intestinal microbiota and related mechanisms in patients with acute pancreatitis, summarizes the current research status of the use of probiotics, points out the research direction of probiotics as the adjuvant treatment regime, and proposes a new method for predicting the dominant flora in patients with acute pancreatitis, in order to bring new ideas for the treatment of acute pancreatitis.