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12 mar 2016 · First, diabetes is an independent factor for poor prognosis in patients with cirrhosis. Specifically, diabetes is associated with the occurrence of major complications of cirrhosis, including ascites and renal dysfunction, hepatic encephalopathy and bacterial infections.
1 mar 2007 · The prognosis worsens with each stage of disease. Why some patients progress while most do not is not known. The only reliable way, to date, of determining this progression is liver biopsy, which may have significant economic implications (good or bad) for the management of patients with type 2 diabetes.
In cirrhotic patients, diabetes increases the risk of HE, and patients with diabetes are at higher risk of developing cirrhosis and severe liver disease [25, 27]. It is reported that diabetes develops as hepatogenous diabetes after liver disease (cirrhosis) onset [24].
In a retrospective chart review of 213 cases, Mantry and colleagues showed that the number of hospitalizations and the duration of hospital stays were shortened for patients receiving combination therapy compared with those receiving lactulose monotherapy.
17 cze 2022 · The EASL Clinical Practice Guidelines (CPGs) on the management of hepatic encephalopathy (HE) present evidence-based answers to a set of relevant questions (where possible, formulated in PICO [patient/population, intervention, comparison and outcomes] format) on the definition, diagnosis, differential diagnosis and treatment of HE.
6 kwi 2018 · Hepatic encephalopathy is a marker of poor survival 9, 77 and is related to poor QoL. However, its role in ranking patients for liver transplantation priority is difficult, since it is not considered in the model for end-stage liver disease (MELD) score.
1 lip 2009 · The prognosis of both conditions is substantially worsened at the extremes of age in the presence of coma, hypotension, and severe comorbidities (1,4,8, 12,13). PATHOGENESIS The events leading to hyperglycemia and ketoacidosis are depicted in Fig. 1 ( 13 ).
