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[Portosystemic encephalopathy].

R Figueroa Barrios1

  • 1Servicio de Gastroenterología, Hospital Nacional Edgardo Rebagliati Martins, IPSS. Lima, Peru.

Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru
|January 1, 1991
PubMed
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Hepatic encephalopathy (HE) management focuses on precipitating factors and disaccharide therapies like lactulose, lactitol, and lactose. Liver transplantation offers a solution for intractable cases and acute liver failure.

Area of Science:

  • Hepatology
  • Gastroenterology
  • Neurology

Context:

  • Hepatic encephalopathy (HE) presents diagnostic and therapeutic challenges.
  • Two types exist: acute liver disease-associated and chronic liver disease-associated.
  • Pathogenesis remains incompletely understood.

Purpose:

  • To review current management strategies for hepatic encephalopathy.
  • To highlight effective treatments for chronic liver disease-associated HE.
  • To discuss the role of disaccharides and liver transplantation.

Summary:

  • Effective management of chronic HE involves identifying and treating precipitating factors.
  • Lactulose, lactitol, and lactose are key disaccharide therapies.
  • Liver transplantation is a viable option for intractable HE and fulminant hepatic failure.

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Impact:

  • Provides a concise overview of HE management.
  • Emphasizes practical therapeutic approaches for clinicians.
  • Underscores the importance of disaccharide therapy and transplantation.