Decompensated Cirrhosis. Decompensated cirrhosis is the stage that comes after compensated cirrhosis. At this point, your liver has too much scarring and you develop complications. Your doctor will know you have decompensated cirrhosis if you show signs of one or more of these conditions: Jaundice. compensated and decompensated. Compensated Cirrhosis. Compensated cirrhosis means that the liver is heavily scarred but can still perform many important bodily functions. Many people with compensated cirrhosis experience few or no symptoms and can live for many years without serious complications. This paper will review the surveillance and health maintenance recommendations that should be followed for every patient with compensated cirrhosis to delay Prognosis of Compensated · Patient Education · Medication Use in Patients.
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Medical Care of the Patient With Compensated Cirrhosis
And, yes, it Does seem like a veritable minefield! I am going to try my best to avoid processed and convenience foods.
Compensated cirrhosis was actually totally shocked when on a recent visit to McDonalds, the chips were already salted!!
I will follow your suggestions, thank you once again, its heart-warming to know there are people like you who care enough to help people like me, and it would seem, there Are lots of us. I will let you know how I get on at the Gp's, Thanks Bolly, your a gem. The Child-Turcotte-Pugh CTP scoring compensated cirrhosis is based on compensated cirrhosis parameters serum bilirubin, serum albumin, prothrombin time, ascites, and grade of encephalopathy ; it is easy to calculate and provides valuable prognostic information.
Patients need to be monitored with regular tests and exams by a liver disease specialist Hepatologist or Gastroenterologist in order to be proactive with their care and symptoms. Some compensated cirrhosis can live for years with low to mild damage, and no symptoms before the liver becomes severely damaged by compensated cirrhosis in which liver function is compromised.
Nonsurgical modalities, although noninvasive, typically result in relatively compensated cirrhosis limited weight loss, but should be tried prior to recommending surgery. Bariatric surgery in a patient with cirrhosis appears to be associated with more complications and increased early postoperative mortality.
What is Compensated and Decompensated Cirrhosis? - Hep
The presence of or a history of ascites, evidence of severe compensated cirrhosis hypertension, large intra-abdominal varices, or significant hepatomegaly are all strong relative contraindications to bariatric surgery. A surgical procedure that will allow for controlled weight loss such as the adjustable gastric banding procedure is preferable to bypass procedures that may result in rapid uncontrolled weight loss that may worsen the underlying liver disease.
Preventive Measures Immunizations Acute hepatitis A, 34 hepatitis B, 35 and influenza 36 can be associated with significantly increased morbidity and mortality when they occur in patients with cirrhosis. These diseases are preventable and immunization should be considered.
The hepatitis A vaccine has been found to be safe and effective in patients with CLD, 37 although the immunogenicity decreases when administered to patients with decompensated cirrhosis. Likewise, the efficacy of the hepatitis B vaccination is also blunted in patients with advanced cirrhosis.
A double-dose accelerated hepatitis B vaccine schedule compensated cirrhosis not appear to be effective compensated cirrhosis overcoming this lack of response, 40 although some investigators report an increased response with this approach.
The polyvalent pneumococcal vaccine is recommended for all patients over 65 years of age and compensated cirrhosis who suffer from a chronic debilitating illness at any age, including cirrhosis.
Dental Hygiene Dental abscesses, severe gingivitis, and other types of serious oral infections are considered relative contraindications to liver transplantation. compensated cirrhosis
Decompensated Liver Disease
Oral infections usually give rise to septicemia during the immediate posttransplantation period when profound compensated cirrhosis is induced. Most patients who are about to receive a liver transplant are too ill to be subjected to the type of dental work required to correct these advanced problems.
To prevent this unfortunate situation, patients on the liver transplant list are encouraged to undergo dental examination and prophylactic dental care every 6 compensated cirrhosis 12 months.
Screening for Osteoporosis Osteoporosis is a well-recognized complication of all types of CLD, particularly among those with cholestatic liver diseases. Repeat screening is compensated cirrhosis at 2-year intervals in patients with normal bone density or mild osteopenia.
For patients with osteoporosis compensated cirrhosis severe osteopenia, appropriate treatment measures should be instituted and response to therapy assessed by repeat densitometry.
The risk of variceal bleeding is markedly decreased if the hepatic vein wedge pressure gradient HVWPG can be lowered to less than 12 mm Hg. Ideally the HVWPG should be measured compensated cirrhosis assess response to therapy and minimize the risk of bleeding; however, this is not practical in the clinical setting.
Unfortunately, most noninvasive markers of severe compensated cirrhosis hypertension lack sensitivity or specificity in selecting patients at high risk for variceal bleeding.
- Decompensated Cirrhosis
- What is Compensated and Decompensated Cirrhosis?
- Prognosis of Compensated Cirrhosis
- Medical Care of the Patient With Compensated Cirrhosis
The recent development of esophageal capsule endoscopy may eventually replace routine fiber optic endoscopy for screening and grading of esophageal varices.