Hepatic encephalopathy: nomenclature, pathogenesis and treatment.

摘要: Hepatic encephalopathy (HE) is a neuropsychiatric syndrome in patients with liver failure and/or portal-systemic bypass. Since 2002 new nomenclature of HE exists, that classifies type A (associated acute failure), B bypass), and C cirrhosis). characterized by rapid development to coma, cerebral edema, poor short-term prognosis. Therefore, these should be referred transplantation center. Standard treatment consists non absorbable disaccharides, antibiotics, diet an appropriate amount proteins. In addition, the possibility performing evaluated. intractable other alternative treatments adjunct standard treatment, like zinc, sodium benzoate, ornithine aspartate, branched chain amino acids, flumazenil, bromocriptine considered.