Herrera Jorge L, Rodríguez Reynaldo
Dr. Herrera is Professor of Medicine with the Division of Gastroenterology at the University of South Alabama College of Medicine in Mobile, where Dr. Rodriguez is Assistant Professor of Medicine.
Gastroenterol Hepatol (N Y). 2006 Feb;2(2):124-133.
The prevalence of liver disease and its complications is rapidly increasing in the United States. Gastroenterologists and hepatologists provide most of the medical care for patients with chronic liver disease and cirrhosis. While most gastroenterologists and hepatologists are comfortable managing the serious complications related to cirrhosis, many fail to provide the necessary education, prevention, and treatment for non-life-threatening problems associated with cirrhosis. Health-related quality of life has been found to strongly correlate with how well cirrhosis-related problems are addressed in the outpatient setting. This paper will review the outpatient management of patients with stable cirrhosis, including the surveillance and health maintenance recommendations necessary to monitor, prevent, or delay the onset of serious complications.
在美国,肝脏疾病及其并发症的患病率正在迅速上升。胃肠病学家和肝病学家为慢性肝病和肝硬化患者提供了大部分医疗服务。虽然大多数胃肠病学家和肝病学家能够自如地处理与肝硬化相关的严重并发症,但许多人未能为与肝硬化相关的非危及生命的问题提供必要的教育、预防和治疗。研究发现,与健康相关的生活质量与门诊环境中肝硬化相关问题的处理效果密切相关。本文将综述稳定期肝硬化患者的门诊管理,包括监测、预防或延缓严重并发症发生所需的监测和健康维护建议。