Current vision on diagnosis and comprehensive care in hepatic encephalopathy
Por:
Higuera-de-la-Tijera F., Velarde-Ruiz Velasco J.A., Raña-Garibay R.H., Castro-Narro G.E., Abdo-Francis J.M., Moreno-Alcántar R., Pérez-Hernández J.L., Torre A., Contreras-Omaña R., Cano-Contreras A., Castillo-Barradas M., Pérez-Escobar J., Aldana-Ledesma J.M., Cerda-Reyes E., Fernández-Pérez N.J., Meza-Cardona J., Flores-García N.C., Reyes-Bastidas M., Lira-Vera J.E., García-Jiménez E.S., Santana-Vargas D., Páez-Zayas V.M., Chávez-Tapia N.C., Márquez-Guillén E.
Publicada:
1 ene 2023
Categoría:
Gastroenterology
Resumen:
The first clinical guidelines on hepatic encephalopathy were published in 2009. Almost 14 years since that first publication, numerous advances in the field of diagnosis, treatment, and special condition care have been made. Therefore, as an initiative of the Asociación Mexicana de Gastroenterología A.C., we present a current view of those aspects. The manuscript described herein was formulated by 24 experts that participated in six working groups, analyzing, discussing, and summarizing the following topics: Definition of hepatic encephalopathy; recommended classifications; epidemiologic panorama, worldwide and in Mexico; diagnostic tools; conditions that merit a differential diagnosis; treatment; and primary and secondary prophylaxis. Likewise, these guidelines emphasize the management of certain special conditions, such as hepatic encephalopathy in acute liver failure and acute-on-chronic liver failure, as well as specific care in patients with hepatic encephalopathy, such as the use of medications and types of sedation, describing those that are permitted or recommended, and those that are not. © 2023 Asociación Mexicana de Gastroenterología
Filiaciones:
Departamento de Gastroenterología y Hepatología, Hospital General de México «Dr. Eduardo Liceaga», Ciudad de México, Mexico
Departamento de Gastroenterología, Hospital Civil de Guadalajara «Fray Antonio Alcalde», Jalisco, Guadalajara, Mexico
Hospital Español, Ciudad de México, Mexico
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, Mexico
Hospital Ángeles Acoxpa, Ciudad de México, Mexico
Departamento de Gastroenterología, Hospital de Especialidades Bernardo Sepúlveda del Centro Médico Nacional Siglo XXI, IMSS, Ciudad de México, Mexico
Centro Médico ABC, Ciudad de México, Mexico
Centro de Educación e Investigación en Enfermedades Hepáticas y Toxicológicas (CEIHET), Hidalgo, Pachuca, Mexico
Centro de Investigaciones Médico Biológicas, Universidad Veracruzana, Veracruz, Veracruz, Mexico
Departamento de Gastroenterología, Hospital de Especialidades del Centro Médico Nacional «La Raza», IMSS, Ciudad de México, Mexico
Instituto Nacional de Enfermedades Respiratorias (INER) «Ismael Cosío Villegas», Ciudad de México, Mexico
Departamento de Gastroenterología, Hospital Central Militar, Ciudad de México, Mexico
Hospital Ángeles León, Guanajuato, León, Mexico
Instituto Mexicano del Seguro Social, Sinaloa, Culiacán, Mexico
Hospital Central «Dr. Ignacio Morones Prieto», Potosí, San Luis, Mexico
Clínica de Trastornos del Sueño, Departamento de Medicina Experimental, Facultad de Medicina, UNAM, Ciudad de México, Mexico
Médica Sur, Cuidad de México, Mexico
gold, All Open Access; Gold
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