Long-term Management of Alcoholic Liver Disease

Garmen A. Woo, Christopher O'Brien

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

Alcoholic liver disease is a major cause of morbidity and mortality worldwide. Patients with cirrhosis caused by alcohol are at risk for developing complications associated with a failing liver. The long-term management of alcoholic liver disease stresses the following: (1) Abstinence of alcohol (Grade 1A), with referral to an alcoholic rehabilitation program; (2) Adequate nutritional support (Grade 1B), emphasizing multiple feedings and a referral to a nutritionist; (3) Routine screening in alcoholic cirrhosis to prevent complications; (4) Timely referral to a liver transplant program for those with decompensated cirrhosis; (5) Avoid pharmacologic therapies, as these medications have shown no benefit.

Original languageEnglish (US)
Pages (from-to)763-781
Number of pages19
JournalClinics in liver disease
Volume16
Issue number4
DOIs
StatePublished - Nov 1 2012

Keywords

  • Alcoholic liver disease
  • AUDIT-C
  • CAGE
  • Long-term management
  • Nutrition

ASJC Scopus subject areas

  • Hepatology

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