• Med. Clin. North Am. · May 2023

    Review

    Inpatient Hepatology Consultation: A Practical Approach for Clinicians.

    • Luis Antonio Díaz, Josefina Pages, Victoria Mainardi, and Manuel Mendizabal.
    • Department of Gastroenterology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
    • Med. Clin. North Am. 2023 May 1; 107 (3): 555565555-565.

    AbstractCirrhosis is the end-stage of chronic liver disease and constitutes a leading cause of potential years of working life lost, especially in the Americas and Europe. Its natural history is characterized by an asymptomatic phase called compensated cirrhosis, followed by a rapidly progressive phase characterized by liver-related complications termed decompensated cirrhosis. Complications could be related to portal hypertension and/or liver dysfunction, including ascites, portal hypertensive gastrointestinal bleeding, encephalopathy, and jaundice. This review will discuss some of the most important precipitants of hepatic decompensation, including acute variceal bleeding, spontaneous bacterial peritonitis, and hepatic encephalopathy.Copyright © 2023 Elsevier Inc. All rights reserved.

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