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10.1016/j.jceh.2014.02.007

http://scihub22266oqcxt.onion/10.1016/j.jceh.2014.02.007
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C4442854!4442854!26041963
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suck abstract from ncbi

pmid26041963      J+Clin+Exp+Hepatol 2015 ; 5 (Suppl 1): S75-81
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  • Management of Covert Hepatic Encephalopathy #MMPMID26041963
  • Waghray A; Waghray N; Mullen K
  • J Clin Exp Hepatol 2015[Mar]; 5 (Suppl 1): S75-81 PMID26041963show ga
  • Hepatic encephalopathy is a reversible progressive neuropsychiatric disorder that encompasses a wide clinical spectrum. Covert hepatic encephalopathy is defined as patients with minimal hepatic encephalopathy and Grade I encephalopathy by West-Haven Criteria. Terminology such as ?sub-clinical?, ?latent?, and ?minimal? appear to trivialize the disease and have been replaced by the term covert. The lack of clinical signs means that covert hepatic encephalopathy is rarely recognized or treated outside of clinical trials with options for therapy based on patients with episodic hepatic encephalopathy. This review discusses the current available options for therapy in covert hepatic encephalopathy and focuses on non-absorbable disacharides (lactulose or lactitol), antibiotics (rifaximin), probiotics/synbiotics and l-ornithine-l-aspartate.
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