The hepatitis B-positive patient

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on The hepatitis B-positive patient

Chapter 36 THE HEPATITIS B-POSITIVE PATIENT KEY POINTS • Chronic hepatitis B virus (HBV) infection is common, affecting approximately 3.5 million people worldwide. • There are three antigens and each…

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Obesity surgery

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Obesity surgery

Chapter 27 OBESITY SURGERY KEY POINTS • Morbid obesity is increasingly prevalent in all developed and developing countries. • Bariatric (weight-loss) surgery is the only treatment shown to cause measurable…

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Cholestasis and jaundice

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Cholestasis and jaundice

Chapter 32 CHOLESTASIS AND JAUNDICE KEY POINTS • Biliary, hepatocellular and systemic conditions may all cause cholestasis and jaundice. • Elevated bilirubin and cholestatic enzymes (ALP and GGT) suggest a…

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Pregnancy and liver disease

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Pregnancy and liver disease

Chapter 48 PREGNANCY AND LIVER DISEASE KEY POINTS • During pregnancy expect a 10%–60% drop in serum albumin and a 2–4-fold increase in alkaline phosphatase. • The transaminases and clotting…

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End-stage liver disease

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on End-stage liver disease

Chapter 46 END-STAGE LIVER DISEASE KEY POINTS • End-stage liver disease is a complication of cirrhosis that is due to a variety of aetiologies, including chronic viral hepatitis, alcoholic liver…

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A family history of liver disease

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on A family history of liver disease

Chapter 42 A FAMILY HISTORY OF LIVER DISEASE SUMMARY • The current status in the understanding of genetic and environmental factors in selected hepatobiliary diseases is discussed. • These include…

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Nutrition in patients with liver disease

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Nutrition in patients with liver disease

Chapter 45 NUTRITION IN PATIENTS WITH LIVER DISEASE KEY POINTS • Malnutrition is prevalent among patients with liver disease. • Malnutrition is associated with higher risk of developing complications of…

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Medical problems after liver transplantation

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Medical problems after liver transplantation

Chapter 49 MEDICAL PROBLEMS AFTER LIVER TRANSPLANTATION KEY POINTS • Common medical problems after liver transplantation include acute rejection, infections, side effects of immunosuppressive medications, vascular and biliary complications and…

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Drugs and liver disease

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Drugs and liver disease

Chapter 41 DRUGS AND LIVER DISEASE KEY POINTS • Drugs have become the leading cause of acute liver failure in Western countries. • The liver plays a central role in…

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Acute liver failure

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Acute liver failure

Chapter 47 ACUTE LIVER FAILURE KEY POINTS • Acute liver failure (ALF) is defined as the rapid development of coagulopathy and mental status changes in a patient with deteriorating liver…

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