اعتلال الدماغ الكبدي المتكرر أو المستمر في تليف الكبد على الرغم من العلاج الطبي الكافي

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).

Patients with end-stage liver disease and recurrent or persistent HE not responding to other treatments should be assessed for liver transplantation (LoE 4, strong recommendation, 100% consensus).