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Hepatic encephalopathy (HE) is a common, severe complication of advanced chronic liver disease (CLD) and has a devastating impact on the patient’s quality of life and prognosis. The neurotoxin ammonia and the presence of systemic and neurological ...
17 cze 2022 · The Governing Board of the European Association for the Study of the Liver (EASL) selected a panel of experts to prepare these Clinical Practice Guideline (CPGs) with the purpose of providing the best available evidence on diagnosis and management of hepatic encephalopathy (HE).
This survey shows that despite clear recommendations to the contrary,5most patients in the United Kingdom with cirrhosis and hepatic encephalopathy have their protein intake restricted, often for prolonged periods.
When oral diet is insufficient oral nutritional supplements or enteral nutrition are suggested. Micronutrient malnutrition should also be evaluated and treated. Obese patients with cirrhosis should follow a moderate caloric restriction while maintaining an adequate or even increased protein intake.
20 maj 2008 · A cirrhosis diet should be started early in treatment to improve the prognosis and outcomes. Unfortunately, existing scarring from cirrhosis cannot be reversed. Diet, then, is a key way to minimize complications and keep it from getting worse.
Proper diagnosis and classification are expected to improve HE management. Once diagnosed, the manage-ment and therapeutic options for HE are generally clear. The improvement of knowl-edge in recent years has also clarified which are the further aims of research in this field of medicine.
14 gru 2013 · Uribe et al. demonstrated improvement in mental state, number connection test times, and electroencephalograms for patients with mild chronic hepatic encephalopathy on vegetable protein diet monotherapy compared with those on animal protein diets plus neomycin.
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