Current concepts in the assessment and treatment of hepatic encephalopathy.
Affiliation
St Vincent's University Hospital, Dublin, Ireland. jcash@btinternet.comIssue Date
2012-02-01T10:30:15ZMeSH
Hepatic Encephalopathy/diagnosis/etiology/*therapyHumans
Hyperammonemia/metabolism
Liver Cirrhosis/*complications/diagnosis
Metadata
Show full item recordCitation
QJM. 2010 Jan;103(1):9-16. Epub 2009 Nov 10.Journal
QJM : monthly journal of the Association of PhysiciansDOI
10.1093/qjmed/hcp152PubMed ID
19903725Abstract
Hepatic encephalopathy (HE) is defined as a metabolically induced, potentially reversible, functional disturbance of the brain that may occur in acute or chronic liver disease. Standardized nomenclature has been proposed but a standardized approach to the treatment, particularly of persistent, episodic and recurrent encephalopathy associated with liver cirrhosis has not been proposed. This review focuses on the pathogenesis and treatment of HE in patients with cirrhosis. The pathogenesis and treatment of hepatic encephalopathy in fulminant hepatic failure is quite different and is reviewed elsewhere.Language
engISSN
1460-2393 (Electronic)1460-2393 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1093/qjmed/hcp152