In alcoholic hepatitis, two immediate clinical priorities guide the first-line approach: addressing ongoing alcohol use and managing the patient's nutritional status, both of which require structured, evidence-based intervention.
The protocol includes specific guidance on alcohol cessation and nutritional support — with defined recommendations on the preferred modality of nutritional intervention that go beyond general dietary advice.
All patients with ALD should be advised to abstain completely from alcohol use, although harm reduction models, which favor alcohol reduction over total abstinence based on a patient's stated goals, may be appropriate in some contexts.
Patients with AH should have malnutrition addressed and treated, preferably with enteral nutrition.
DOI: 10.1002/hep.30866 View source ↗