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您的检索式：作者名="Daniel Pella"
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| 1 | Association between hepatitis B and metabolic syndrome:Current state of the art显示文摘Chronic hepatitis B(CHB)is a global health issue that increases the risk of liver cirrhosis and hepatocellular carcinoma in infected patients.Metabolic syndrome(Met S)is a disease endemic mostly to the developed countries.It is associated with high cardiovascular mortality and morbidity,diabetes mellitus as well as cancer.In this manuscript,we systematically review the published data on the relationship between Met S and CHB infection.Multiple studies have described highly variable correlations between CHB on one hand and Met S,non-alcoholic fatty liver disease and dyslipidemia on the other.No association between CHB and diabetes mellitus or atherosclerosis has been described as of now.The presence of Met S in patients infected with hepatitis B virus increases the risk of fibrosis,cirrhosis and hepatocellular carcinoma.Appropriate lifestyle,but also pharmacological interventions are needed to prevent the development of these complications. | Peter Jarcuska Sylvia Drazilova Jan Fedacko Daniel Pella Martin Janicko | 2016 | World Journal of Gastroenterology2016，22，1： | 8 |
| 2 | Pleiotropic effects of statins in the diseases of the liver显示文摘Statins are a class of molecules that inhibit HMG Co A reductase. They are usually prescribed as a lipid lowering medication. However, there is accumulating evidence that statins have multiple secondary effects both related and unrelated to their lipid-lowering effect. This narrative review of the literature aims to provide the reader with information from clinical studies related to the effect of statin and statins' potential use in patients with liver diseases. In patients with advanced liver disease due to any etiology, statins exhibit an antifibrotic effect possibly through the prevention of hepatic sinusoidal microthrombosis. Two randomized controlled trials confirmed that statins decrease hepatic vein pressure gradient in patients with portal hypertension and improve the survival of patients after variceal bleeding. Lower rates of infections were observed in patients with cirrhosis who received statin treatment. Statins decrease the risk of hepatocellular carcinoma(HCC) in patients with advanced liver disease in general but particularly in patients with chronic hepatitis B and C. Statins in patients with chronic hepatitis C likely increase the virological response to the treatment with pegylated interferon and ribavirin and have the potential to decrease the rate of fibrosis. Finally, data from randomized controlled trials also confirmed that the addition of statin prolongs the survival of patients with advanced HCC even more than sorafenib. Statins are a very promising group of drugs especially in patients with liver disease, where therapeutic options can often be limited. Some indications, such as the prevention of re-bleeding from esophageal varices and the palliative treatment of HCC have been proven through randomized controlled trials, while additional indications still need to be confirmed through prospective studies. | Martin Janicko Sylvia Drazilova Daniel Pella Jan Fedacko Peter Jarcuska | 2016 | World Journal of Gastroenterology2016，22，27： | 2 |
| 3 | Hepatitis B virus infection in patients with metabolic syndrome: A complicated relationship. Results of a population based study显示文摘 | Peter Jar?u?ka Martin Jani?ko Peter Kru?liak Miroslav Novák Eduard Veselíny Ján Feda?ko Gabriela Senajová Sylvia Dra?ilová Andrea Madarasová-Gecková Mária Mareková Daniel Pella Leonard Siegfried Pavol Kristián Eva Kolesárová | 2014 | European Journal of Internal Medicine2014，，3： | 1 |
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