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jueves, 27 de diciembre de 2012

Enfermedad hepática descompensada

 
Tips for managing decompensated liver disease
An expert advises more albumin and antibiotics

Keywords: How to manage decompensated liver disease in the hospital
By Deborah Gesensway. Published in the September 2012 issue of Today's Hospitalist
"WHEN HOSPITALISTS ENCOUNTER PATIENTS WITH decompensated liver disease, they probably should worry less about hemorrhage and focus more on paracentesis. While they're at it, hospitalists should also probably order albumin and prescribe antibiotics more frequently, and remember that beta-blockers can be helpful after variceal band ligation.
Those were the take-home messages at a session on managing decompensated liver disease at this spring's Society of Hospital Medicine annual meeting. James R. Burton Jr., MD, a gastroenterologist, associate professor of medicine and medical director of liver transplantation at the University of Colorado Hospital, addressed a number of concerns that hospitalists have about treating patients with decompensated liver disease who need medical care while waiting for liver transplants."
That's why he's adopted this maxim: "If you are sick enough to have cirrhosis and be in the hospital," said Dr. Burton, "you are going to need a needle in your abdomen to rule out SBP."