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Hepatic Encephalopathy

Neurology, 1993
The approach to the management of patients with HE is summarized in Table 3. Other diagnoses need to be excluded and, after a diagnosis of HE is made on clinical and possibly electroencephalographic grounds, a search made for precipitants. Sedatives and opiates should be avoided, and steps taken to avoid hypoglycaemia, fluid overload or electrolyte ...
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Hepatic Encephalopathy

Seminars in Liver Disease, 2008
Hepatic encephalopathy is a severe complication of cirrhosis that is related to the effects of ammonia. Analysis of interorgan ammonia trafficking has identified an important role of skeletal muscle in ammonia removal and has highlighted the importance of the nutritional status.
Juan, Córdoba, Beatriz, Mínguez
openaire   +5 more sources

Hepatic Encephalopathy

Medical Clinics of North America, 1989
Hepatic encephalopathy (HE) is a complex reversible syndrome that can progress to coma. Recently, behavioral and electrophysiologic ameliorations of HE have been reported to occur in animal models of fulminant hepatic failure (FHF) and, in uncontrolled studies, in a majority of patients with FHF or cirrhosis following the intravenous administration of ...
S H, Gammal, E A, Jones
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Hepatic Encephalopathy

Neurologic Clinics, 2002
Many patients with cirrhosis of the liver who appear to be overtly normal, using standard bedside examination techniques, test in the impaired range on one or more neuropsychological tests. These impairments affect the quality of life. Improvement in affected cognitive domains and the quality of life may follow the institution of treatment.
openaire   +3 more sources

Hepatic Encephalopathy

2011
Hepatic encephalopathy (HE) is a neuropsychiatric syndrome which can develop in the course of chronic and acute liver disease. It is characterized by cognitive and motoric deficits of varying severity. HE is functional in nature, potentially reversible and is thought to reflect the clinical manifestation of a low-grade cerebral edema, which exacerbates
openaire   +4 more sources

Lactulose improves cognition, quality of life, and gut microbiota in minimal hepatic encephalopathy: A multicenter, randomized controlled trial

Journal of Digestive Diseases, 2019
Lactulose is effective in the treatment and prevention of overt hepatic encephalopathy (OHE), but there are limited data on its use on microbiota in relations to minimal hepatic encephalopathy (MHE) recovery.
Ji Yao Wang   +13 more
semanticscholar   +1 more source

Raised serum Interleukin‐6 identifies patients with liver cirrhosis at high risk for overt hepatic encephalopathy

Alimentary Pharmacology and Therapeutics, 2019
Systemic inflammation is a driving force for the development of hepatic encephalopathy and recent studies demonstrated that elevated Interleukin‐6 (IL‐6) serum levels are associated with the presence of minimal hepatic encephalopathy in patients with ...
C. Labenz   +8 more
semanticscholar   +1 more source

EASL Clinical Practice Guidelines on the management of hepatic encephalopathy.

Journal of Hepatology, 2022
S. Montagnese   +7 more
semanticscholar   +1 more source

The treatment of hepatic encephalopathy

Metabolic Brain Disease, 2007
Current recommendations for the treatment of hepatic encephalopathy are based, to a large extent, on open or uncontrolled trials, undertaken in very small numbers of patients. In consequence, there is ongoing discussion as to whether the classical approach to the treatment of this condition, which aims at reducing ammonia production and absorption ...
Marsha Y. Morgan   +7 more
openaire   +2 more sources

Minimal Hepatic Encephalopathy

Clinics in Liver Disease, 2020
Minimal hepatic encephalopathy, previously called subclinical hepatic encephalopathy, represents the earliest and mildest form of hepatic encephalopathy. It is the most under-recognized and underdiagnosed form of hepatic encephalopathy. Although there is no diagnostic gold standard, validated testing modalities have been devised to detect this ...
Briette Karanfilian   +3 more
openaire   +2 more sources

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