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Abstract Details
Step by Step: Managing the Complications of Cirrhosis
Hepat Med. 2021 May 25;13:45-57.doi: 10.2147/HMER.S278032. eCollection 2021.
Irene Perez1, Fabian J Bolte1, William Bigelow1, Zachary Dickson2, Neeral L Shah2
Author information
1Department of Internal Medicine, University of Virginia, Charlottesville, VA, USA.
2Division of Gastroenterology and Hepatology, University of Virginia, Charlottesville, VA, USA.
Abstract
According to the Centers for Disease Control and Prevention, chronic liver disease and cirrhosis is the 11th leading cause of death in the United States. Common causes of chronic liver disease include alcohol, viral hepatitis, and non-alcoholic steatohepatitis (NASH). Inflammation is a critical driver in the progression of liver disease to liver fibrosis and ultimately cirrhosis. While the severity of chronic liver disease extends over a continuum, the management is more easily differentiated between compensated and decompensated cirrhosis. In this review, we discuss pathophysiology, clinical features and management of common complications of liver cirrhosis based on literature review and the current clinical practice guidelines of the American Association for the Study of Liver Diseases (AASLD).