Books > Medicine > Clinical & internal medicine > Hepatology
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Alcohol & the Liver (Hardcover)
Loot Price: R3,459
Discovery Miles 34 590
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Alcohol & the Liver (Hardcover)
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The topic of alcohol and the liver is long overdue for
re-evaluation. The authors of this book have clearly taken up this
challenge. Human interest in alcohol dates back to the Neolithic
period (circa 10,000 BC). Only a small amount of alcohol is found
naturally in food. Therefore, humans have yet to adapt to the high
quantities of alcohol consumed daily by alcohol abusers. Alcohol is
a simple carbohydrate and is metabolised as a fuel. However, unlike
more naturally occurring carbohydrates such as glucose, the
pathways for its metabolism are not subject to the same checks and
balances. Ethanol oxidation reduces NAD+, which starves reactions
that depend on this substrate. This accounts for the accumulation
of fat in alcoholic steatosis. Alcohol metabolism generates
significant amounts of reactive oxygen species (ROS), which damages
mtDNA and subsequently mitochondrial integrity. The authors provide
several lines of evidence that link the clinical picture of
alcoholic liver disease with mitochondrial damage. Other important
topics highlighted in this book include histo-pathological aspects
of the disease. Clinical assessment of nutrition and vitamin
supplementation is addressed as well. The book concludes with the
highly topical and controversial aspect of liver transplantation in
patients with alcoholic liver disease.
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