1. Diagnosis and Management of Hepatic Encephalopathy.
- Author
-
Rudler M, Weiss N, Bouzbib C, and Thabut D
- Subjects
- Humans, Incidence, Liver Cirrhosis complications, Hepatic Encephalopathy diagnosis, Hepatic Encephalopathy epidemiology, Hepatic Encephalopathy etiology, Hypertension, Portal diagnosis, Hypertension, Portal therapy, Portasystemic Shunt, Transjugular Intrahepatic
- Abstract
Hepatic encephalopathy (HE) is a severe complication of cirrhosis. The prevalence of overt HE (OHE) ranges from 30% to 45%, whereas the prevalence of minimal HE (MHE) is as high as 85% in some case series. Widespread use of transjugular intrahepatic portosystemic shunt to control complications related to portal hypertension is associated with an increase in HE incidence. If the diagnosis of OHE remains simple in most cases, then the diagnosis of MHE is less codified because of many differential diagnoses with different therapeutic implications. This review analyzes current knowledge about the pathophysiology, diagnosis, and different therapeutic options of HE., (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF