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Sepsis and cholestasis.

Michael Fuchs1, Arun J Sanyal

  • 1Division of Gastroenterology, Department of Internal Medicine, Virginia Commonwealth University Medical Center, 1200 E Broad Street, PO Box 980341, Richmond, VA 23298-0341, USA.

Clinics in Liver Disease
|February 5, 2008
PubMed
Summary
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Sepsis-associated cholestasis, a complication of bacterial infections, involves specific molecular mechanisms. This overview covers its clinical presentation, diagnosis, and treatment.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Molecular Biology

Background:

  • Cholestasis frequently complicates bacterial infections and sepsis.
  • Sepsis-induced liver injury is a significant clinical concern.

Purpose of the Study:

  • To provide a comprehensive overview of sepsis-associated cholestasis.
  • To elucidate the molecular mechanisms, clinical features, and management strategies.

Main Methods:

  • Literature review of molecular mechanisms.
  • Analysis of clinical presentation and diagnostic approaches.
  • Review of current therapeutic interventions.

Main Results:

  • Detailed explanation of molecular pathways contributing to cholestasis in sepsis.

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  • Description of clinical signs including jaundice.
  • Summary of diagnostic tools and treatment options.
  • Conclusions:

    • Sepsis-associated cholestasis requires a thorough understanding of its pathophysiology.
    • Effective management involves timely diagnosis and targeted therapy.