Search results for "Cirrhosis"
Improving palliative care in cirrhosis
Educating patients and acknowledging their existential distress are just two ways hospitalists can better meet the needs of patients with decompensated cirrhosis.
https://gastroenterology.acponline.org/archives/2024/12/20/6.htm
20 Dec 2024
In NASH with liver fibrosis, resmetirom improved NASH resolution and reduced fibrosis at 1 y
This was an interim analysis of an industry trial, and final results are needed to determine whether patients with nonalcoholic (or metabolic dysfunction-associated) steatohepatitis (NASH) show clinically meaningful benefits, an ACP Journal Club commentary said.
https://gastroenterology.acponline.org/archives/2024/06/28/11.htm
28 Jun 2024
Early vs. late paracentesis associated with better outcomes in hospitalized cirrhosis patients
Patients hospitalized with cirrhosis and ascites who received diagnostic paracentesis within 12 to 24 hours of admission had lower rates of in-hospital mortality and acute kidney injury and shorter length of stay than those who received it later, a meta-analysis found.
https://gastroenterology.acponline.org/archives/2024/07/26/2.htm
26 Jul 2024
MKSAP Quiz: Follow-up of cirrhosis due to nonalcoholic steatohepatitis
A 60-year-old woman is evaluated for follow-up of cirrhosis due to nonalcoholic steatohepatitis. Her cirrhosis has been complicated by ascites that has persisted despite escalating diuretic treatment. Following a physical exam and other tests, what is the most appropriate initial management?
https://gastroenterology.acponline.org/archives/2024/06/28/4.htm
28 Jun 2024
Spotlight on hospitalizations for cirrhosis
Recent studies looked at predicting readmissions, treating acute kidney injury, and improving health literacy in patients hospitalized with cirrhosis.
https://gastroenterology.acponline.org/archives/2023/08/25/5.htm
25 Aug 2023
IV iron appears safe, effective for bleeding-related iron-deficiency anemia in cirrhosis
Patients with cirrhosis who had iron-deficiency anemia after variceal bleeding had greater improvement in clinical outcomes at three months with IV iron versus oral iron therapy, a randomized trial in India found.
https://gastroenterology.acponline.org/archives/2024/05/24/1.htm
24 May 2024
Medications for AUD appear beneficial in patients with cirrhosis
A systematic review and meta-analysis found that medications for alcohol use disorder (AUD) were associated with 32% more abstinence versus placebo or standard treatment in patients with alcohol-induced cirrhosis.
https://gastroenterology.acponline.org/archives/2023/09/22/1.htm
22 Sep 2023
MKSAP Quiz: ED evaluation for fever, jaundice
A 59-year-old woman is evaluated in the emergency department for fever and jaundice. She has decompensated alcoholic cirrhosis with ascites. Following a physical exam and other tests, what is the most appropriate initial treatment?
https://gastroenterology.acponline.org/archives/2024/11/22/4.htm
22 Nov 2024
Spotlight on acute kidney injury in cirrhosis
One recent study quantified the incidence of acute kidney injury (AKI) among patients with cirrhosis undergoing CT with contrast, while a review offered advice on diagnosis, nonpharmacological management, and prevention of AKI in cirrhosis.
https://gastroenterology.acponline.org/archives/2023/10/27/5.htm
27 Oct 2023
Adding factors to FIB-4 improves early identification of patients with risk of HCC
The score, which took into account age, sex, race and ethnicity, body mass index, diabetes status, smoking status, alcohol use, and Fibrosis-4 Index (FIB-4) score, found patients at risk of hepatocellular cancer (HCC) who didn't have viral hepatitis or cirrhosis.
https://gastroenterology.acponline.org/archives/2024/11/22/1.htm
22 Nov 2024