RT Book, Section
A1 Olivo, Raquel
A1 Pyrsopoulos, Nikolaos T.
A2 Molmenti, Ernesto Pompeo
A2 Santibañes, Martin de
A2 Santibañes, Eduardo de
SR Print(0)
ID 1180107352
T1 Hepatic Encephalopathy
T2 Liver Transplantation: Operative Techniques and Medical Management
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781260462517
LK accesssurgery.mhmedical.com/content.aspx?aid=1180107352
RD 2024/04/24
AB Hepatic  encephalopathy  (HE)  defines  a  spectrum  of  neurologic  and  neuropsychiatric  irregularities  that  develop  in  a  patient  with  liver  disease,  after  other  causes  are  ruled  out.  It  can  range  from  minimal  hepatic  encephalopathy  (MHE)  and  covert  hepatic  encephalopathy  (CHE)  to  overt  hepatic  encephalopathy  (OHE)  with  significant  symptoms  and  impairment  (Fig.  14-1).It  was  described  by  Hippocrates  (460–371  BC)  when  he  stated  that  the  “yellow  bile  causes  the  patient  to  thrash  around.”Although  it  is  considered  a  completely  reversible  syndrome,  some  research  establishes  an  accumulative  effect  in  cognition  deficits  of  affected  patients  over  time.