General aspects of the treatment of alcoholic hepatitis

被引:6
作者
Babineaux, Michael J. [1 ]
Anand, Bhupinderjit S. [2 ]
机构
[1] Univ Texas Med Branch, Dept Internal Med, Galveston, TX 77555 USA
[2] Baylor Coll Med, Dept Gastroenterol & Hepatol, Michael Debakey VA Med Ctr, Houston, TX 77555 USA
关键词
Alcoholic hepatitis; Alcohol abstinence; Alcohol withdrawal; Nutritional support; Complications of cirrhosis; Malnutrition; Treatment;
D O I
10.4254/wjh.v3.i5.125
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
General measures for treating patients with alcoholic hepatitis (AH) are similar irrespective of the disease severity. Alcohol abstinence is the cornerstone of treatment and can be achieved with appropriate social support, Alcoholics Anonymous and sometimes pharmacological therapy. Alcohol withdrawal should be anticipated and treatment initiated to prevent this complication. Treatment for complications of cirrhosis should be as for any other patient with cirrhosis. AH patients are particularly prone to infections and malnutrition. These should be identified and treated appropriately using broad spectrum antibiotics and nutritional support respectively. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:125 / 129
页数:5
相关论文
共 34 条
[1]   Effectiveness and safety of baclofen for maintenance of alcohol abstinence in alcohol-dependent patients with liver cirrhosis: randomised, double-blind controlled study [J].
Addolorato, Giovanni ;
Leggio, Lorenzo ;
Ferrulli, Anna ;
Cardone, Silvia ;
Vonghia, Luisa ;
Mirijello, Antonio ;
Abenavoli, Ludovico ;
D'Angelo, Cristina ;
Caputo, Fabio ;
Zambon, Antonella ;
Haber, Paul S. ;
Gasbarrini, Giovanni .
LANCET, 2007, 370 (9603) :1915-1922
[2]   The value of the CAGE in screening for alcohol abuse and alcohol dependence in general clinical populations: a diagnostic meta-analysis [J].
Aertgeerts, B ;
Buntinx, F ;
Kester, A .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2004, 57 (01) :30-39
[3]  
BAGARANI M, 1987, Italian Journal of Surgical Sciences, V17, P21
[4]   Endoscopic treatment versus endoscopic plus pharmacologic treatment for acute variceal bleeding:: A meta-analysis [J].
Bañares, R ;
Albillos, A ;
Rincón, D ;
Alonso, S ;
González, M ;
Ruiz-del-Arbol, L ;
Salcedo, M ;
Molinero, LM .
HEPATOLOGY, 2002, 35 (03) :609-615
[5]   Rifaximin Treatment in Hepatic Encephalopathy [J].
Bass, Nathan M. ;
Mullen, Kevin D. ;
Sanyal, Arun ;
Poordad, Fred ;
Neff, Guy ;
Leevy, Carroll B. ;
Sigal, Samuel ;
Sheikh, Muhammad Y. ;
Beavers, Kimberly ;
Frederick, Todd ;
Teperman, Lewis ;
Hillebrand, Donald ;
Huang, Shirley ;
Merchant, Kunal ;
Shaw, Audrey ;
Bortey, Enoch ;
Forbes, William P. .
NEW ENGLAND JOURNAL OF MEDICINE, 2010, 362 (12) :1071-1081
[6]   Role of Transjugular Intrahepatic Portosystemic Shunt (TIPS) in the Management of Portal Hypertension: Update 2009 [J].
Boyer, Thomas D. ;
Haskal, Ziv J. .
HEPATOLOGY, 2010, 51 (01) :306-306
[7]   Short- and long-term outcome of severe alcohol-induced hepatitis treated with steroids or enteral nutrition:: A multicenter randomized trial [J].
Cabré, E ;
Rodríguez-Iglesias, P ;
Caballería, J ;
Quer, JC ;
Sánchez-Lombraña, JL ;
Parés, A ;
Papo, M ;
Planas, R ;
Gassull, MA .
HEPATOLOGY, 2000, 32 (01) :36-42
[8]   Antibiotic prophylaxis for cirrhotic patients with upper gastrointestinal bleeding [J].
Chavez-Tapia, Norberto C. ;
Barrientos-Gutierrez, Tonatiuh ;
Tellez-Avila, Felix I. ;
Soares-Weiser, Karla ;
Uribe, Misael .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2010, (09)
[9]  
Chung Tammy, 2005, Recent Dev Alcohol, V17, P5, DOI 10.1007/0-306-48626-1_1
[10]   Hospital experience and outcomes for esophageal variceal bleeding [J].
Dy, SM ;
Cromwell, DM ;
Thuluvath, PJ ;
Bass, EB .
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2003, 15 (02) :139-146