Treatment of chronic liver disease Treatment Cause ( Etiology)



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tarix26.03.2018
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#33493


Treatment of chronic liver disease


Treatment

  • Cause ( Etiology)

  • Complication



Etiology

  • Infection

  • Alcohol

  • Autoimmune

  • Cholestatic

  • Infiltrative

  • Metabolic

  • Vascular

  • Drugs



Complications

  • Ascites

  • GI bleed

  • SBP

  • Edema

  • Hepatoma

  • Encephalopathy

  • Hepatorenal syndrome



Viral hepatitis

  • Hepatitis B

  • Nucleoside analogues

  • Lamivudine

  • Adefovir

  • Telbivudine

  • Entecavir

  • Tenofovir

  • Interferon



  • Autoimmune hepatitis

  • Prednisone

  • Azathioprine

  • New drugs

  • Budesonide

  • Cyclosporine

  • Tacrolimus

  • Rapamycin

  • Mycophenolate mofetil





  • PBC

  • Ursodeoxycholic acid

  • Symptomatic

  • Cholestyramine/Rifampicin

  • Calcium/vitamin D

  • PSC

  • ERCP

  • Liver transplant























ENDOSCOPIC IMAGES OF MILD AND SEVERE PORTAL HYPERTENSIVE GASTROPATHY

































Hepatic Encephalopathy











Liver transplant

  • All patients with end stage liver disease should be assessed for liver transplant when ever is proven to significantly prolong survival and improve quality of life in a coast effective manner over natural history of the liver disease and other medical and non transplant surgical intervention.



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