与代谢功能障碍相关的脂肪性肝病中的结肠直肠癌:国际德尔菲共识声明
Chu-Tian Wu1, Giovanni Targher2,3, Christopher D Byrne4
1Department of Gastroenterology, The Fifth Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Gut
|March 2, 2026
概括
与代谢功能障碍相关的脂肪性肝病 (MASLD) 增加了结直肠癌 (CRC) 的风险,特别是更高的代谢负担. 早期查和生活方式的改变是管理MASLD患者CRC风险的关键.
科学领域:
- 肝病学和胃肠道学
- 代谢疾病 代谢疾病
- 在瘤学瘤学.
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 是一种普遍存在的全球性肝病.
- MASLD与结直肠癌 (CRC) 的风险增加有关,具有共同的风险因素和机制.
- 目前,在MASLD患者中识别和管理CRC风险的最佳策略是不够的.
研究的目的:
- 建立专家对MASLD和CRC风险之间的关联的共识.
- 在MASLD的背景下,确定影响CRC风险的关键因素.
- 概述潜在的策略,以减轻MASLD患者的CRC风险.
主要方法:
- 一项德尔菲调查,涉及35名国际多学科专家.
- 专家们评估了17个声明,涉及流行病学,病原和管理领域.
- 来自亚洲,欧洲,北美,南美,大洋洲和非洲的全球代表.
主要成果:
- 对有关MASLD和CRC的所有17个声明达成共识.
- MASLD增加了CRC风险;增加的代谢负担加剧了这种风险.
- 肠肝轴,失生症和荷尔蒙 (勒丁,阿迪波内克丁) 有关;减肥,早期查,减肥手术和GLP-1激动剂是潜在的干预措施.
结论:
- 在MASLD患者中增加对CRC的临床警至关重要.
- 建议转向较早,风险适应的CRC查.
- 综合代谢管理对于降低MASLD群体的CRC负担至关重要.
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