Cirrhosis secondary prevention: Difference between revisions
Megan Merlo (talk | contribs) No edit summary |
|||
| Line 2: | Line 2: | ||
{{Cirrhosis}} | {{Cirrhosis}} | ||
{{CMG}} | {{CMG}} {{AE}} {{RT}} | ||
{{PleaseHelp}} | |||
==Overview== | ==Overview== | ||
| Line 13: | Line 15: | ||
* Avoid intake of foods and water with high concentrations of copper to prevent worsening of [[Wilson's disease]]. | * Avoid intake of foods and water with high concentrations of copper to prevent worsening of [[Wilson's disease]]. | ||
==Tertiary Prevention== | |||
===Overview=== | |||
Tertiary prevention in patients with cirrhosis is aimed at preventing the complications that arise from cirrhosis, such as [[esophageal varices]], [[spontaneous bacterial peritonitis]], [[hepatorenal syndrome]] and [[portal vein thrombosis]]. | |||
===Tertiary Prevention=== | |||
* Non-selective [[beta blockers]] reduce the risk of further bleeding from the [[esophageal varices]]. | |||
* Judicious use of diuretics and prophylactic antibiotics have been shown to prevent [[spontaneous bacterial peritonitis]]. | |||
* Avoiding vigorous diuresis and nephrotoxic drugs help to prevent [[hepatorenal syndrome]]. | |||
* [[Enoxaparin]], a low molecular weight heparin, has been shown to be effective in helping in preventing [[portal vein thrombosis]] in patients with [[cirrhosis]]. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Gastroenterology]] | |||
[[Category:Hepatology]] | |||
[[Category:Disease]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 14:42, 18 July 2016
|
Cirrhosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case studies |
|
Cirrhosis secondary prevention On the Web |
|
American Roentgen Ray Society Images of Cirrhosis secondary prevention |
|
Risk calculators and risk factors for Cirrhosis secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Please help WikiDoc by adding content here. It's easy! Click here to learn about editing.
Overview
Secondary prevention in patients with cirrhosis is aimed at preventing further damage in an ailing liver. Avoidance of alcohol and other hepatotoxins, treatment of any underlying chronic liver disease and immunisation against hepatitis A and B for susceptible patients are the key measure of secondary prevention of cirrhosis.
Secondary Prevention
- Abstinence from alcohol is the initial step in secondary prevention to prevent further damage to the liver in patients who already have cirrhosis. One should discuss the alcohol intake with the doctor. Patients with Hepatitis B and C should cut down on alcohol intake as alcohol aggravates fibrosis, cirrhosis, and makes liver cancer more likely.
- Vaccination against Hepatitis A and B in cirrhotic patients can help prevent superimposed insult to the live that has already been damaged.
- Avoid intake of foods and water with high concentrations of copper to prevent worsening of Wilson's disease.
Tertiary Prevention
Overview
Tertiary prevention in patients with cirrhosis is aimed at preventing the complications that arise from cirrhosis, such as esophageal varices, spontaneous bacterial peritonitis, hepatorenal syndrome and portal vein thrombosis.
Tertiary Prevention
- Non-selective beta blockers reduce the risk of further bleeding from the esophageal varices.
- Judicious use of diuretics and prophylactic antibiotics have been shown to prevent spontaneous bacterial peritonitis.
- Avoiding vigorous diuresis and nephrotoxic drugs help to prevent hepatorenal syndrome.
- Enoxaparin, a low molecular weight heparin, has been shown to be effective in helping in preventing portal vein thrombosis in patients with cirrhosis.