Cirrhosis: Difference between revisions

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(→‎Prognosis: moved content to new MELD page)
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==Prognosis==
==Prognosis==
===MELD Score===
===MELD Score===
{{main|MELD Score}}
The MELD Score can help predict mortality. An [http://www.unos.org/resources/MeldPeldCalculator.asp?index=98 online calculator] is available.
The MELD Score can help predict mortality. An [http://www.unos.org/resources/MeldPeldCalculator.asp?index=98 online calculator] is available.
In interpeting the MELD Score in hospitalized patients, the 3 month mortality is:<ref name="pmid11172350">{{cite journal |author=Kamath PS, Wiesner RH, Malinchoc M, ''et al'' |title=A model to predict survival in patients with end-stage liver disease |journal=Hepatology |volume=33 |issue=2 |pages=464–70 |year=2001 |pmid=11172350 |doi=10.1053/jhep.2001.22172}}</ref>
* 40 or more - 100% mortality
* 30-39 - 83% mortality
* 20-29 - 76% mortality
* 10-19 - 27% mortality
* <10 - 4% mortality
The MELD has also been studied in patients undergoing transjugular intrahepatic portosystemic shunt (TIPS).<ref name="pmid10733541">{{cite journal |author=Malinchoc M, Kamath PS, Gordon FD, Peine CJ, Rank J, ter Borg PC |title=A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts |journal=Hepatology |volume=31 |issue=4 |pages=864–71 |year=2000 |pmid=10733541 |doi=10.1053/he.2000.5852}}</ref>


==References==
==References==

Revision as of 16:01, 14 January 2008

Cirrhosis is a "liver disease in which the normal microcirculation, the gross vascular anatomy, and the hepatic architecture have been variably destroyed and altered with fibrous septa surrounding regenerated or regenerating parenchymal nodules."[1]

Complications

Ascites

For more information, see: Ascites.

Hepatic encephalopathy

For more information, see: Hepatic encephalopathy.


Prognosis

MELD Score

For more information, see: MELD Score.

The MELD Score can help predict mortality. An online calculator is available.

References

  1. ↑ Anonymous. Liver cirrhosis. National Library of Medicine. Retrieved on 2008-01-07.
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