title: Management of patients with decompensated cirrhosis.
abstract: During the assessment of a patient with liver disease, finding the patient has decompensated cirrhosis, as defined by the presence of jaundice, ascites, variceal haemorrhage or hepatic encephalopathy, has major implications regarding management and prevention of cirrhosis-related complications, as well as consideration for a referral for liver transplantation evaluation. Prognosis is markedly worse in patients with decompensated compared with compensated cirrhosis. In general, any patient with decompensated cirrhosis should receive evaluation and medical care by a hepatologist. Since patients frequently present with more than one facet of liver decompensation, such cases pose a complex management challenge requiring input from a multidisciplinary team and close liaison with a liver transplant centre.
authors.affiliation: Institute of Liver Studies, King's College Hospital, London, UK phillip.harrison@kcl.ac.uk.
authors.forename: Phillip M
authors.initials: PM
authors.lastname: Harrison
mesh_terms: D006801:Humans; D008103:Liver Cirrhosis / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D011379:Prognosis
keywords: Jaundice; ascites; hepatic encephalopathy; hepatorenal syndrome; liver transplant; nutrition; spontaneous bacterial peritonitis; variceal haemorrhage
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