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Letter to the Editor: An isolated insular stroke mimics a bout of overt hepatic encephalopathy in a patient with cirrhosis
The manifestations of hepatic encephalopathy (HE) vary from mild neuropsychiatric abnormalities to coma 1,2. Diagnosis and differential diagnosis can be challenging, especially in the hospital setting, where patients may suffer from other metabolic encephalopathies or neurological/psychiatric disorders 1,2,3. Moreover, HE might also occur on top of pre-existing disease, such as dementia 1. Any potential HE precipitating factor should be identified and treated promptly 1. In patients with delirium and cirrhosis, even those with a working diagnosis of HE, a set of laboratory tests including a full blood count, glucose, elect...
Source: Journal of Hepatology - March 19, 2023 Category: Gastroenterology Authors: Chiara Mangini, Roberta Gagliardi, Francesco Causin, Paolo Angeli, Sara Montagnese Tags: Letter to the Editor Source Type: research

An isolated insular stroke mimics a bout of overt hepatic encephalopathy in a patient with cirrhosis
The manifestations of hepatic encephalopathy (HE) vary from mild neuropsychiatric abnormalities to coma.1,2 Diagnosis and differential diagnosis can be challenging, especially in the hospital setting, where patients may suffer from other metabolic encephalopathies or neurological/psychiatric disorders.1 –3 Moreover, HE might also occur on top of pre-existing disease, such as dementia.1 Any potential HE precipitating factor should be identified and treated promptly.1 In patients with delirium and cirrhosis, even those with a working diagnosis of HE, a set of laboratory tests including a full blood count, glucose, electrol...
Source: Journal of Hepatology - March 19, 2023 Category: Gastroenterology Authors: Chiara Mangini, Roberta Gagliardi, Francesco Causin, Paolo Angeli, Sara Montagnese Tags: Letter to the Editor Source Type: research

Intersectoral management of patients with abnormal liver enzymes and non-alcoholic fatty liver disease (NAFLD)
Z Gastroenterol. 2023 Feb 15. doi: 10.1055/a-1957-5671. Online ahead of print.ABSTRACTThe prevalence of fatty liver disease has increased significantly in Germany in recent years. With an estimated 18 million German citizens being affected, it is now among the most prevalent diseases. Furthermore, it is also considered a relevant and independent risk factor for other common cardiovascular diseases such as heart attack or stroke. Finally, diabetes mellitus promotes the development of and an unfavorable course of fatty liver disease. Given the high prevalence and complications, the German healthcare system is reaching its li...
Source: Zeitschrift fur Gastroenterologie - February 15, 2023 Category: Gastroenterology Authors: Andreas Teufel Andreas Geier Christoph Sarrazin J örn M Schattenberg Achim Kautz Rebecca Dorner Jan Kramer Katrin Jerysiak Theodor Baars Bastian H önscheid Dirk M üller-Wieland Siegbert Rossol Christian Trautwein Frank Tacke Ali Canbay Source Type: research

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