[PDF] Hepatic Encephalopathy Ecab eBook

Author : Prabha Sawant
Publisher : Elsevier Health Sciences
Page : 104 pages
File Size : 27,29 MB
Release : 2013-06-17
Category : Medical
ISBN : 8131231836

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Hepatic encephalopathy is the clinical syndrome resulting from increased ammonia levels in blood. The most common cause of HE is chronic liver disease. However, acute liver failure, Reye’s syndrome, or metabolic defects are other causes. The true prevalence of overt HE is difficult to establish because of the considerable heterogeneity in etiology and disease severity. However, HE has been reported to be present in around 50% of patients with cirrhosis or with porto-caval shunts at some time during their illness. It is less common in patients with portosystemic shunts without liver disease. Thirty percent of patients dying of end-stage liver disease experience significant encephalopathy, approaching coma. After TIPS placement, approximately 1/3 of patients will experience overt HE. Minimal HE (MHE) is difficult to diagnose due to lack of standard diagnostic tests. Its clinical significance with regards to progression to overt encephalopathy has however, not been established. Conventional treatment of hepatic encephalopathy relies primarily on reducing the production and absorption of ammonia. Identification and correction of the precipitating factors and general supportive measures are important management steps. There are very few randomized controlled trials (RCT) of therapies and even these are bugged by lack of a control group and small sample sizes.

Author : Deepak Amarapurkar
Publisher : Elsevier Health Sciences
Page : 137 pages
File Size : 21,73 MB
Release : 2014-12-11
Category : Medical
ISBN : 8131239543

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ECAB Clinical Hepatology - E-Book

Author : Sanjiv Saigal
Publisher : Elsevier Health Sciences
Page : 151 pages
File Size : 35,2 MB
Release : 2014-12-11
Category : Medical
ISBN : 8131239705

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ECAB Recent Advances in Hepatology - E-Book

Author : Kevin D. Mullen
Publisher : Springer Science & Business Media
Page : 251 pages
File Size : 26,67 MB
Release : 2012-05-30
Category : Medical
ISBN : 1617798363

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Because of the increasing burden of hepatitis C and fatty liver disease, there is an explosion in the prevalence of chronic liver failure and hence its complications. The onset of Hepatic Encephalopathy (HE) in these patients has a significant impact on the quality of life, morbidity and mortality. Unfortunately, the approach observed by most clinicians to this complex disorder is minimalistic. This book provides a comprehensive review on pathophysiology and clinically important aspects in HE. Topics in basic physiology, nitrogen metabolism, new insights into pathogenesis and brain edema are covered in great detail. The authors have made a special effort by simplifying the complex aspects of pathogenesis and diagnosis so that it can be easily understood and applied clinically. This volume also focuses on recent developments regarding diagnoses of subtle forms of HE, also known as minimal or covert HE as well as on new treatments. Hepatic Encephalopathy will be of great value to gastroenterologists, hepatologists, pathologists, medical residents, fellows, internists and general practitioners who treat patients with hepatic encephalopathy.

Author : Philip Abraham
Publisher : Elsevier Health Sciences
Page : 168 pages
File Size : 21,36 MB
Release : 2009-09-15
Category : Medical
ISBN : 8131231844

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Alcoholic liver disease involves an acute or chronic inflammation of liver occurring as a consequence of alcohol abuse. The pathological changes occur in 3 stages namely, fatty liver, alcoholic liver disease and cirrhosis, with the final stage traditionally considered to be irreversible. Alcoholic liver disease is responsible for a significant number of premature deaths per annum all around the globe. There is an urgent need to educate the masses about the hazards of alcohol abuse. An efficient system to encourage and prolong the period of alcohol abstinence is the need of the hour. The importance of lifestyle modifications like weight reduction and cessation of smoking in the progression of liver disease needs to be communicated to the patients and the medical community as well. Moreover, realization of the role of nutrition in the management and recovery of ALD would enhance the treatment strategies for this condition. This book has been designed to update the readers on the important aspects of ALD and is a step forward to enable the society in combating the social and economic losses that occur as a result of alcohol abuse. The book has stressed upon various aspects of ALD like the role of nutrition, epidemiology and pathogenesis, and the possible therapeutic strategies involved. Supportive case scenarios have also been incorporated with relevance to the topics covered under the book. Overall, the book presents to the readers an excellent compilation of clinically applicable literature sourced from the most acclaimed physicians in the country.

Author : Livio Capocaccia
Publisher : Springer Science & Business Media
Page : 382 pages
File Size : 33,33 MB
Release : 2012-12-06
Category : Medical
ISBN : 1468447874

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The meeting which took place in Rome on November 19th and 20th of 1982 is easily the best meeting on hepatic coma that I have ever attended, and I have attended many. It was an exceedingly we- planned meeting with prolonged opportunity for discussion, and there was genuine interplay and exchange of ideas (not the usual picture of a rushed meeting with investigators presenting their own point of view and talking past each other without a meaningful ex change) which took place in Rome. My co-editors and I hope that the published transcript, which of course can only reflect what transpired in Rome on those two days, does justice to a very intellectually exciting and gratifying ex change of ideas. L. Capocaccia, J. E. Fischer and F. Rossi-Fanelli v CONTENTS Introduction 1 SECTION 1: PATHOGENETIC PROBLEMS IN HEPATIC ENCEPHALOPATHY Ammonia: The old and the new • • . • • • . • . • • • . • . • 5 L. Zieve Role of synergism in the pathogenesis of hepatic encephalopathy • • • • . • • . . . . • 15 L. Zieve y-Aminobutyric acid receptors in experimental hepatic encephalopathy •. •. • • 25 M. L. Zeneroli, ~. Baraldi,and E. Ventura A possible role for excitatory neurotoxic amino acids in the pathogenesis of hepatic en 41 cephalopathy • • • • • • • • • • • • • • • F. Moroni, G. Lombardi, G. Moneti, D. Pellegrini and C.

Author : Jasmohan S. Bajaj
Publisher : Springer
Page : 166 pages
File Size : 21,82 MB
Release : 2018-05-23
Category : Medical
ISBN : 3319767984

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This volume provides a comprehensive, state-of-the-art overview of hepatic encephalopathy. Through a case-based approach, the text reviews new data and studies about the role of microbiota in liver disease and hepatic encephalopathy, explores the burden of hepatic encephalopathy on readmissions, costs, and patient care, and highlights management strategies for patients in differing stages of hepatic encephalopathy. Exploratory new therapies and treatment targets are also discussed in the guide. Written by experts in the field, Diagnosis and Management of Hepatic Encephalopathy: A Case-based Guide is a valuable resource for physicians and researchers who deal with this challenging complication of cirrhosis.