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Long-term management of alcoholic liver disease.
Clin Liver Dis 2005; 9(1):135-49CL

Abstract

Despite the epidemics of viral hepatitis C and nonalcoholic fatty liver disease, alcohol remains one of the major causes of liver disease. Commonly, hepatitis C and other liver diseases are found in association with alcohol consumption. This association in many instances is noted to accelerate the progression of liver disease. In many respects, the long-term management of alcoholic liver disease is not dissimilar from the long-term management of patients with cirrhosis from other etiologies. One major element is the abstinence of alcohol use. The ability to maintain sobriety has a major impact on the outcome of patients with alcoholic cirrhosis because maintaining abstinence can lead to significant regression of fibrosis and possibly early cirrhosis. Similarities in managing patients with cirrhosis due to alcohol or cirrhosis from other causes include vaccination to prevent superimposed viral hepatitis and screening for esophageal varices and hepatocellular carcinoma with subsequent appropriate therapy.

Authors+Show Affiliations

Case Western Reserve School of Medicine, 2580 Metrohealth Drive, Room G-632A, Cleveland, OH 44109, USA. jwfleming@metrohealth.orgNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15763233

Citation

Wakim-Fleming, Jamilé, and Kevin D. Mullen. "Long-term Management of Alcoholic Liver Disease." Clinics in Liver Disease, vol. 9, no. 1, 2005, pp. 135-49.
Wakim-Fleming J, Mullen KD. Long-term management of alcoholic liver disease. Clin Liver Dis. 2005;9(1):135-49.
Wakim-Fleming, J., & Mullen, K. D. (2005). Long-term management of alcoholic liver disease. Clinics in Liver Disease, 9(1), pp. 135-49.
Wakim-Fleming J, Mullen KD. Long-term Management of Alcoholic Liver Disease. Clin Liver Dis. 2005;9(1):135-49. PubMed PMID: 15763233.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term management of alcoholic liver disease. AU - Wakim-Fleming,Jamilé, AU - Mullen,Kevin D, PY - 2005/3/15/pubmed PY - 2005/5/19/medline PY - 2005/3/15/entrez SP - 135 EP - 49 JF - Clinics in liver disease JO - Clin Liver Dis VL - 9 IS - 1 N2 - Despite the epidemics of viral hepatitis C and nonalcoholic fatty liver disease, alcohol remains one of the major causes of liver disease. Commonly, hepatitis C and other liver diseases are found in association with alcohol consumption. This association in many instances is noted to accelerate the progression of liver disease. In many respects, the long-term management of alcoholic liver disease is not dissimilar from the long-term management of patients with cirrhosis from other etiologies. One major element is the abstinence of alcohol use. The ability to maintain sobriety has a major impact on the outcome of patients with alcoholic cirrhosis because maintaining abstinence can lead to significant regression of fibrosis and possibly early cirrhosis. Similarities in managing patients with cirrhosis due to alcohol or cirrhosis from other causes include vaccination to prevent superimposed viral hepatitis and screening for esophageal varices and hepatocellular carcinoma with subsequent appropriate therapy. SN - 1089-3261 UR - https://www.unboundmedicine.com/medline/citation/15763233/Long_term_management_of_alcoholic_liver_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1089-3261(04)00113-8 DB - PRIME DP - Unbound Medicine ER -