Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26203291
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26203291
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Hepat+Med
2015 ; 7
(ä): 43-50
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Management options in decompensated cirrhosis
#MMPMID26203291
Shah NL
; Banaei YP
; Hojnowski KL
; Cornella SL
Hepat Med
2015[]; 7
(ä): 43-50
PMID26203291
show ga
Chronic injury to the liver from a variety of different sources can result in
irreversible scarring of the liver, known as cirrhosis. Cirrhosis is a major
cause of morbidity and mortality in the USA, and according to the Centers for
Disease Control and Prevention was responsible for 31,903 deaths in 2010 alone.
It is thus of the utmost importance to appropriately manage these patients in the
inpatient and outpatient setting to improve morbidity and mortality. In this
review, we address four major areas of cirrhosis management: outpatient
management of portal hypertension with decompensation, hepatic encephalopathy,
hepatorenal syndrome, and bleeding/coagulation issues. Outpatient management
covers recommendations for health care maintenance and screening. Hepatic
encephalopathy encompasses a brief review of pathophysiology, treatment in the
acute setting, and long-term prevention. Hepatorenal syndrome is discussed in
regards to pathophysiology and treatment in the hospital setting. Finally, a
discussion of the assessment of coagulation profiles in cirrhosis and
recommendations for bleeding and thrombosis complications is included. These
topics are not all encompassing with regard to this complicated population, but
rather an overview of a few medical problems that are commonly encountered in
their care.