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Practice Guideline
. 2019 Sep 28;25(36):5403-5422.
doi: 10.3748/wjg.v25.i36.5403.

Chinese guidelines on management of hepatic encephalopathy in cirrhosis

Xiao-Yuan Xu  1 , Hui-Guo Ding  2 , Wen-Gang Li  3 , Ji-Dong Jia  4 , Lai Wei  5 , Zhong-Ping Duan  6 , Yu-Lan Liu  7 , En-Qiang Ling-Hu  8 , Hui Zhuang  9 , Chinese Society Of Hepatology, Chinese Medical Association
Affiliations
Practice Guideline

Chinese guidelines on management of hepatic encephalopathy in cirrhosis

Xiao-Yuan Xu et al. World J Gastroenterol. .

Abstract

The Chinese Society of Hepatology developed the current guidelines on the management of hepatic encephalopathy in cirrhosis based on the published evidence and the panelists' consensus. The guidelines provided recommendations for the diagnosis and management of hepatic encephalopathy (HE) including minimal hepatic encephalopathy (MHE) and overt hepatic encephalopathy, emphasizing the importance on screening MHE in patients with end-stage liver diseases. The guidelines emphasized that early identification and timely treatment are the key to improve the prognosis of HE. The principles of treatment include prompt removal of the cause, recovery of acute neuropsychiatric abnormalities to baseline status, primary prevention, and secondary prevention as soon as possible.

Keywords: Diagnosis; Hepatic encephalopathy; Liver cirrhosis; Therapy.

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Conflict of interest statement

Conflict-of-interest statement: All the authors have no conflict of interest related to the manuscript.

Figures

Figure 1
Figure 1
Clinical diagnosis and treatment process of hepatic encephalopathy associated with cirrhosis. HE: Hepatic encephalopathy; MHE: Minimal hepatic encephalopathy.
See this image and copyright information in PMC

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