Cirrhosis and its complications: Evidence based treatment

被引:154
作者
Nusrat, Salman [1 ,2 ]
Khan, Muhammad S. [1 ,2 ]
Fazili, Javid [1 ,2 ]
Madhoun, Mohammad F. [1 ,2 ]
机构
[1] Univ Oklahoma, Hlth Sci Ctr, Dept Med, Div Digest Dis & Nutr, 920 Stanton L Young Blvd,WP 1345, Oklahoma City, OK 73104 USA
[2] Vet Affair Med Ctr, Oklahoma City, OK 73104 USA
关键词
Ascites; Hepatic encephalopathy; Portal hypertension; Varices; Portopulmonary hypertension; Hepatopulmonary syndrome; INTRAHEPATIC PORTOSYSTEMIC SHUNT; ADVANCED HEPATOCELLULAR-CARCINOMA; SPONTANEOUS BACTERIAL PERITONITIS; RANDOMIZED CONTROLLED-TRIAL; CHRONIC HEPATITIS-C; INTERNATIONAL NORMALIZED RATIO; ENDOSCOPIC VARICEAL LIGATION; LARGE-VOLUME PARACENTESIS; SMALL ESOPHAGEAL-VARICES; CHRONIC LIVER-DISEASE;
D O I
10.3748/wjg.v20.i18.5442
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Cirrhosis results from progressive fibrosis and is the final outcome of all chronic liver disease. It is among the ten leading causes of death in United States. Cirrhosis can result in portal hypertension and/or hepatic dysfunction. Both of these either alone or in combination can lead to many complications, including ascites, varices, hepatic encephalopathy, hepatocellular carcinoma, hepatopulmonary syndrome, and coagulation disorders. Cirrhosis and its complications not only impair quality of life but also decrease survival. Managing patients with cirrhosis can be a challenge and requires an organized and systematic approach. Increasing physicians' knowledge about prevention and treatment of these potential complications is important to improve patient outcomes. A literature search of the published data was performed to provide a comprehensive review regarding the management of cirrhosis and its complications. (C) 2014 Baishideng Publishing Group Co., Limited. All rights reserved.
引用
收藏
页码:5442 / 5460
页数:19
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