RT Journal Article
SR Electronic
T1 Management of patients with decompensated cirrhosis
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 201
OP 203
DO 10.7861/clinmedicine.15-2-201
VO 15
IS 2
A1 Phillip M Harrison
YR 2015
UL http://www.rcpjournals.org/content/15/2/201.abstract
AB During the assessment of a patient with liver disease, finding the patient has decompensated cirrhosis, as defined by the presence of jaundice, ascites, variceal haemorrhage or hepatic encephalopathy, has major implications regarding management and prevention of cirrhosis-related complications, as well as consideration for a referral for liver transplantation evaluation. Prognosis is markedly worse in patients with decompensated compared with compensated cirrhosis. In general, any patient with decompensated cirrhosis should receive evaluation and medical care by a hepatologist. Since patients frequently present with more than one facet of liver decompensation, such cases pose a complex management challenge requiring input from a multidisciplinary team and close liaison with a liver transplant centre.