Alcoholic hepatitis primary prevention: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Alcoholic hepatitis}} | {{Alcoholic hepatitis}} | ||
{{ CMG}}; {{AE}} {{S.M}} | |||
==Overview== | |||
==Primary Prevention== | |||
* The [[primary prevention]] of [[Alcoholic Hepatitis]] is [[alcohol]] abstinence<ref name="pmid12640727">{{cite journal| author=Pessione F, Ramond MJ, Peters L, Pham BN, Batel P, Rueff B | display-authors=etal| title=Five-year survival predictive factors in patients with excessive alcohol intake and cirrhosis. Effect of alcoholic hepatitis, smoking and abstinence. | journal=Liver Int | year= 2003 | volume= 23 | issue= 1 | pages= 45-53 | pmid=12640727 | doi=10.1034/j.1600-0676.2003.01804.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12640727 }} </ref> | |||
** [[Alcohol]] abstinence improves [[histological]] features of [[hepatic]] injury and reduces [[portal hypertension]] and the risk of [[cirrhosis]]<ref name="pmid19904248">{{cite journal| author=O'Shea RS, Dasarathy S, McCullough AJ| title=Alcoholic liver disease. | journal=Am J Gastroenterol | year= 2010 | volume= 105 | issue= 1 | pages= 14-32; quiz 33 | pmid=19904248 | doi=10.1038/ajg.2009.593 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19904248 }} </ref> | |||
** In two-third of patients improvement can be seen in 90 days<ref name="pmid11804670">{{cite journal| author=Veldt BJ, Lainé F, Guillygomarc'h A, Lauvin L, Boudjema K, Messner M | display-authors=etal| title=Indication of liver transplantation in severe alcoholic liver cirrhosis: quantitative evaluation and optimal timing. | journal=J Hepatol | year= 2002 | volume= 36 | issue= 1 | pages= 93-8 | pmid=11804670 | doi=10.1016/s0168-8278(01)00228-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11804670 }} </ref> | |||
* Risk of [[recidivism]] is 67% to 81% after [[alcohol]] abstinence <ref name="pmid11327187">{{cite journal| author=Miller WR, Walters ST, Bennett ME| title=How effective is alcoholism treatment in the United States? | journal=J Stud Alcohol | year= 2001 | volume= 62 | issue= 2 | pages= 211-20 | pmid=11327187 | doi=10.15288/jsa.2001.62.211 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11327187 }} </ref> | |||
* In order to decrease the risk of recidivism, following [[interventions]] are recommended:<ref name="pmid26256464">{{cite journal| author=Khan A, Tansel A, White DL, Kayani WT, Bano S, Lindsay J | display-authors=etal| title=Efficacy of Psychosocial Interventions in Inducing and Maintaining Alcohol Abstinence in Patients With Chronic Liver Disease: A Systematic Review. | journal=Clin Gastroenterol Hepatol | year= 2016 | volume= 14 | issue= 2 | pages= 191-202.e1-4; quiz e20 | pmid=26256464 | doi=10.1016/j.cgh.2015.07.047 | pmc=4805368 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26256464 }} </ref> | |||
** Combination [[psychotherapy]] with [[cognitive behavioral therapy]] | |||
** Peer driven support counseling | |||
** Motivational enhancement therapy | |||
** Comprehensive medical care | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 15:06, 2 August 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]
Overview
Primary Prevention
- The primary prevention of Alcoholic Hepatitis is alcohol abstinence[1]
- Alcohol abstinence improves histological features of hepatic injury and reduces portal hypertension and the risk of cirrhosis[2]
- In two-third of patients improvement can be seen in 90 days[3]
- Risk of recidivism is 67% to 81% after alcohol abstinence [4]
- In order to decrease the risk of recidivism, following interventions are recommended:[5]
- Combination psychotherapy with cognitive behavioral therapy
- Peer driven support counseling
- Motivational enhancement therapy
- Comprehensive medical care
References
- ↑ Pessione F, Ramond MJ, Peters L, Pham BN, Batel P, Rueff B; et al. (2003). "Five-year survival predictive factors in patients with excessive alcohol intake and cirrhosis. Effect of alcoholic hepatitis, smoking and abstinence". Liver Int. 23 (1): 45–53. doi:10.1034/j.1600-0676.2003.01804.x. PMID 12640727.
- ↑ O'Shea RS, Dasarathy S, McCullough AJ (2010). "Alcoholic liver disease". Am J Gastroenterol. 105 (1): 14–32, quiz 33. doi:10.1038/ajg.2009.593. PMID 19904248.
- ↑ Veldt BJ, Lainé F, Guillygomarc'h A, Lauvin L, Boudjema K, Messner M; et al. (2002). "Indication of liver transplantation in severe alcoholic liver cirrhosis: quantitative evaluation and optimal timing". J Hepatol. 36 (1): 93–8. doi:10.1016/s0168-8278(01)00228-8. PMID 11804670.
- ↑ Miller WR, Walters ST, Bennett ME (2001). "How effective is alcoholism treatment in the United States?". J Stud Alcohol. 62 (2): 211–20. doi:10.15288/jsa.2001.62.211. PMID 11327187.
- ↑ Khan A, Tansel A, White DL, Kayani WT, Bano S, Lindsay J; et al. (2016). "Efficacy of Psychosocial Interventions in Inducing and Maintaining Alcohol Abstinence in Patients With Chronic Liver Disease: A Systematic Review". Clin Gastroenterol Hepatol. 14 (2): 191-202.e1-4, quiz e20. doi:10.1016/j.cgh.2015.07.047. PMC 4805368. PMID 26256464.