علاج الاعتلال الدماغي الكبدي المتكرر أو المستمر في تليف الكبد

References

DOI: 10.1016/j.jhep.2022.06.001

Obliteration of accessible portal-systemic shunts in patients with cirrhosis with recurrent or persistent HE (despite adequate medical treatment) can be considered in stable patients with a MELD score <11 (LoE 4, weak recommendation, 100% consensus).

In patients with recurrent/persistent HE, replacement of animal protein with vegetable and dairy protein can be considered, provided that overall protein intake is not compromised and that patient's tolerance is considered (LoE 4, weak recommendation, 83% consensus).