41. Alcohol Research & Health: Hepatic Encephalopathy Full text of the article, hepatic encephalopathy from Alcohol Research Health,a publication in the field of Health Fitness, is provided free of http://www.findarticles.com/p/articles/mi_m0CXH/is_3_27/ai_n6357651

@import url(/css/us/style1.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); @import url(/css/us/artHome1.css); Advanced Search Home Help IN free articles only all articles this publication Automotive Sports 10,000,000 articles - not found on any other search engine. FindArticles Fall 2003 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Featured Titles for AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Hepatic encephalopathy Fall, 2003 by Roger F. Butterworth Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. Continue article Advertisement The liver and the brain interact in numerous ways to ensure normal brain functioning. For example, the liver plays a key role in supplying nutrients to the brain, which cannot produce these compounds itself. The liver also removes toxic substances from the blood, including substances that have been generated in the brain and must be eliminated from the body, as well as compounds produced in other tissues that are harmful to the brain's nerve cells (i.e., are neurotoxic). Thus, liver dysfunction can cause disturbances of brain function and even contribute to brain damage. This article describes the characteristics and diagnosis of HE and the changes in brain cell structure associated with this condition. The article also reviews imaging techniques that allow researchers to study changes in brain structure and function occurring in patients with HE and describes the contributions of ammonia and manganese to the development of HE, as elucidated by these techniques. Finally, the article explores some approaches currently used or being investigated for treating patients with HE resulting from alcoholic liver disease.

42. Alcohol Research & Health: Hepatic Encephalopathy—a Serious Complication Of Alc Full text of the article, hepatic encephalopathy—a serious complication ofalcoholic liver disease from Alcohol Research Health, a publication in the http://www.findarticles.com/p/articles/mi_m0CXH/is_2_27/ai_n6125561

@import url(/css/us/style1.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); @import url(/css/us/artHome1.css); Advanced Search Home Help IN free articles only all articles this publication Automotive Sports 10,000,000 articles - not found on any other search engine. FindArticles Spring 2003 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Featured Titles for AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Spring, 2003 by Roger F. Butterworth Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. Alcohol's harmful effects on liver cells not only interfere not only with the normal functioning of the liver but also impact distant organs, including the brain. Prolonged liver dysfunction resulting from excessive alcohol consumption can lead to the development of a serious and potentially fatal brain disorder known as hepatic encephalopathy (HE). Patients with HE suffer from sleep disturbances, changes of mood and personality, severe cognitive effects (e.g., a shortened attention span), psychiatric conditions such as anxiety and depression, as well as motor disturbances, including motor incoordination and a type of flapping tremor of the hands called asterixis. In the most serious cases, the patients no longer respond to external stimuli and may fall into a coma (i.e., hepatic coma), which can be fatal.

43. FIRSTConsult - Sdfdsf FIRSTConsult, hepatic encephalopathy (Medical Condition File). Published formedical students and primary healthcare providers by Elsevier. http://www.firstconsult.com/?action=view_article&id=1014781&type=101&bref=1

44. Benzodiazepine Receptor Antagonists For Hepatic Encephalopathy (Cochrane Review) Abstract of a systematic review of the effects of health care prepared by theCochrane Collaboration. http://www.cochrane.org/cochrane/revabstr/AB002798.htm

From The Cochrane Library, Issue 2, 2005 Benzodiazepine receptor antagonists for hepatic encephalopathy (Cochrane Review) Als-Nielsen B, Gluud LL, Gluud C ABSTRACT What's new in this issue Search abstracts Browse alphabetical list of titles Browse by Review Group A substantive amendment to this systematic review was last made on 23 February 2004. Cochrane reviews are regularly checked and updated if necessary. Background: Hepatic encephalopathy may be associated with accumulation of substances that bind to a receptor-complex in the brain resulting in neural inhibition. Benzodiazepine receptor antagonists may have a beneficial effect on patients with hepatic encephalopathy. Objectives: To evaluate the beneficial and harmful effects of benzodiazepine receptor antagonists for patients with hepatic encephalopathy. Search strategy: Eligible trials were identified through The Cochrane Hepato-Biliary Group Controlled Trials Register, The Cochrane Controlled Trials Register on The Cochrane Library, MEDLINE and EMBASE (last search: January 2004), reference lists of relevant articles, authors of trials, and pharmaceutical companies. Selection criteria: Randomised trials comparing any benzodiazepine receptor antagonist versus placebo or no intervention for hepatic encephalopathy.

45. Branched-chain Amino Acids For Hepatic Encephalopathy (Cochrane Review) Abstract of a systematic review of the effects of health care prepared by theCochrane Collaboration. http://www.cochrane.org/cochrane/revabstr/AB001939.htm

From The Cochrane Library, Issue 2, 2005 Branched-chain amino acids for hepatic encephalopathy (Cochrane Review) Als-Nielsen B, Koretz RL, Kjaergard LL, Gluud C ABSTRACT What's new in this issue Search abstracts Browse alphabetical list of titles Browse by Review Group A substantive amendment to this systematic review was last made on 19 September 2002. Cochrane reviews are regularly checked and updated if necessary. Background: Hepatic encephalopathy may be caused by a decreased plasma ratio of branched-chain amino acids (BCAA) to aromatic amino acids. Treatment with BCAA may therefore have a beneficial effect on patients with hepatic encephalopathy. Objectives: To evaluate the beneficial and harmful effects of BCAA for patients with hepatic encephalopathy. Search strategy: We identified trials through The Cochrane Hepato-Biliary Group Controlled Trials Register (September 2002), (Issue 3, 2002), MEDLINE (1966-2002/09) and EMBASE (1980-2002/05), manual searches of bibliographies and journals, authors of trials, and pharmaceutical companies. Selection criteria: Randomised trials comparing BCAA with any kind of control therapy for hepatic encephalopathy were included, regardless of blinding, language, or publication status.

46. Hepatic Encephalopathy- Health Encyclopedia And Reference hepatic encephalopathy Symptoms, Treatments and Medications. http://www.healthcentral.com/encyclopedia/408/368/Hepatic_Encephalopathy.html

Dr. Dean TV Specials Newsletters Help Apr 14, 2005 Home News Diseases Symptoms ... Health Tools Search Choose a Health Topic * All Health Topics * Acne Addictions AIDS/HIV Alcohol Abuse Allergies Alternative Medicine Alzheimer's Arthritis Asthma Attention Deficit Disorder (ADHD) Backache Bipolar Affective Disorder Birth Control Blood Blood Pressure Bone/Joint/Tendon Bowel Brain Breast cancer Cancer Cerebral Palsy Cholesterol Cramps Crohn's Disease Cysts Dental/Oral Depression Diabetes Diet, Fitness, Looks Disabled/Special Needs Drug Abuse Ear/Nose/Throat Eating/Appetite Eczema Encephalitis Eye/Vision Fatigue Fever Flu Food Poisoning Foot Gallbladder Gastrointestinal Genetic/Congenital GERD/Heartburn Hair Loss Hair/Scalp Headache Hearing Heart Disease, Stroke Heat/Sunstroke Hepatitis Hernia Herpes High Blood Pressure Hormonal Immune Disorders Immunizations/Vaccines Impotence Incontinence/Bladder Infections Injuries Kidney/Urinary Kids Learning Disabilities Liver Lung Cancer Men Menopause, Postmenopause Migraine Mobility/Balance Multiple Sclerosis Muscle Neural Nosebleeds Pain Parasites Pituitary PMS Pregnancy Prostate Cancer Prostate Disorders Psoriasis Psychological Raynaud's Disease Respiratory Reye Syndrome Rheumatoid Arthritis Schizophrenia Seniors Sensory Sexually Transmitted Skin Sleep Speech Disorders Spinal Thyroid Trauma Weight Loss Women Yeast Infections Home Diseases Cancer Liver Hepatic Encephalopathy Health Encyclopedia - Diseases and Conditions A B C D ... Y Hepatic Encephalopathy What is the Definition of Hepatic Encephalopathy?

47. Halfbakery: Hepatic Encephalopathy Treatment What to do for the folks with hepatic encephalopathy? As Nick8 s link describes,the reason for this trouble is thought to be accumulation of ammonia, http://www.halfbakery.com/idea/Hepatic_20encephalopathy_20treatment

h a l f b a k e r y "Two crumbs up!" idea: new search annotate link , view, overview recent by name best ... random meta: news help about links ... report a problem account: Browse anonymously, or get an account and write. User: Pass: Login Create account. Ciprozac Courage Pill Drug ... drug Hepatic encephalopathy treatment Adsorb! Adsorb! [vote for against Just when everyone was having fun talking about the booze buster pills, along came buzzkill IVnick8or with the gloom and doom of hepatic encephalopathy. Those folks are in a bad way. There is no good dialysis equivalent for livers, so if you have used yours up, you can't just hook on to the machine like the renal failure folks do. Even if you quit the booze, if your liver is shot you could still get hepatic encephalopathy from time to time. The only cure is a liver transplants, but folks seem to want to save the available livers for kids and those who came by liver failure by accident, rather than prolonged effort. What to do for the folks with hepatic encephalopathy? As Nick8's link describes, the reason for this trouble is thought to be accumulation of ammonia, which normally the liver can get rid of. When this stuff builds up it stuns the brain. Zeolite is a natural mineral widely used to adsorb ammonia in applications such as wastewater treatment and aquarium maintenance. I propose that a slurry be devised for the liver impaired, consisting of zeolite slurry. This stuff will adsorb ammonia on the way thru the gut and eventually be pooped out. Possibly, if has not been exhausted, it will go on to aid with municipal wastewater treatment. The "Z-slurry" will buttress what is left of the liver, allowing the person to cloud his mind only with the chemicals of his choosing.

48. Hepatic Encephalopathy - Alegent Health Serving Eastern Nebraska And Southwest I hepatic encephalopathy courtesy of Alegent Health serving eastern Nebraska andsouthwest Iowa - Council Bluffs, Iowa - Corning, Iowa - Missouri Valley, http://www.alegent.com/12503.cfm

@import url(default.css); Back to Health Library Print This Page Email to a Friend Digestive system organs Hepatic encephalopathy Definition: Hepatic encephalopathy is brain and nervous system damage that occurs as a complication of liver disorders. It is characterized by various neurologic symptoms including changes in reflexes, changes in consciousness , and behavior changes that can range from mild to severe. Alternative Names: Hepatic coma; Encephalopathy - hepatic Causes, incidence, and risk factors: Hepatic encephalopathy is caused by disorders affecting the liver. These include disorders that reduce liver function (such as cirrhosis or hepatitis ) and conditions where blood circulation bypasses the liver. The exact cause of the disorder is unknown. However, when the liver cannot properly metabolize and detoxify substances in the body, toxic substances build up in the bloodstream. One substance believed to be particularly toxic to the central nervous system is ammonia , which is produced by the body when proteins are digested, but is normally detoxified by the liver. Many other substances may also accumulate in the body and contribute to damage to the nervous system.

49. Hepatic Encephalopathy - Washington DC hepatic encephalopathy Washington Hospital Center is located in Washington DC. http://www.whcenter.org/13545.cfm

cddcodebase = "navtools/topmenu/";cddcodebase367050 = "navtools/topmenu/"; Article Manager Home Back to Health Library Print This Page ... Digestive system organs Hepatic encephalopathy Definition: Hepatic encephalopathy is brain and nervous system damage that occurs as a complication of liver disorders. It is characterized by various neurologic symptoms including changes in reflexes, changes in consciousness , and behavior changes that can range from mild to severe. Alternative Names: Hepatic coma; Encephalopathy - hepatic Causes, incidence, and risk factors: Hepatic encephalopathy is caused by disorders affecting the liver. These include disorders that reduce liver function (such as cirrhosis or hepatitis ) and conditions where blood circulation bypasses the liver. The exact cause of the disorder is unknown. However, when the liver cannot properly metabolize and detoxify substances in the body, toxic substances build up in the bloodstream. One substance believed to be particularly toxic to the central nervous system is ammonia , which is produced by the body when proteins are digested, but is normally detoxified by the liver. Many other substances may also accumulate in the body and contribute to damage to the nervous system.

50. NEJM -- Treatment Of Hepatic Encephalopathy Review Article from The New England Journal of Medicine Treatment of HepaticEncephalopathy. http://content.nejm.org/cgi/content/short/337/7/473

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 337:473-479 August 14, 1997 Number 7 Next Treatment of Hepatic Encephalopathy Stephen M. Riordan, M.D., and Roger Williams, M.D. Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings. Full Text PDF Letters Add to Personal Archive ... PubMed Citation Hepatic encephalopathy is a complex neuropsychiatric syndrome that may occur in such diverse clinical situations as inherited errors of the urea cycle, acute or chronic liver disease, and spontaneous or iatrogenic portosystemic venous shunting, including that following procedures to establish a transjugular intrahepatic portosystemic shunt. The clinical manifestations of this syndrome range from subtle abnormalities detectable only by psychometric testing to deep coma. Several grading systems have been proposed; one based on clinical and electroencephalographic abnormalities is shown in Table 1. Hepatic encephalopathy may be present in 50 to 70 percent of all patients with cirrhosis, including

51. NEJM -- Management Of Hepatic Encephalopathy Correspondence from The New England Journal of Medicine Management of HepaticEncephalopathy. http://content.nejm.org/cgi/content/short/337/26/1921-a

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 337:1921-1922 December 25, 1997 Number 26 Next Management of Hepatic Encephalopathy Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings. Full Text Add to Personal Archive Add to Citation Manager E-mail When Cited ... Find Similar Articles To the Editor: In their review, Riordan and Williams (Aug. 14 issue) state that protein restriction is a well-documented therapy for hepatic encephalopathy and imply that a high dietary protein intake is a common cause of hepatic encephalopathy in patients with liver cirrhosis. To our knowledge, scientific proof of the benefit of protein restriction is lacking, and there are no controlled studies of protein restriction. The authors refer to a chapter in a book and an experimental study in dogs. They recommend minimal daily protein intakes of 0.8 to 1.0 g per kilogram of body weight to Full Text of this Article References HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Comments and questions? Please

52. THE MERCK MANUAL, Sec. 4, Ch. 38, Clinical Features Of Liver Disease PortalSystemic Encephalopathy (hepatic encephalopathy; Hepatic Coma) Portal-systemic encephalopathy may occur in fulminant hepatitis caused by viruses, http://www.merck.com/mrkshared/mmanual/section4/chapter38/38f.jsp

53. HEPATIC ENCEPHALOPATHY hepatic encephalopathy A condition which is used to describe the deleteriouseffects of liver failure on the central nervous system. http://www.medhelp.org/glossary/new/gls_2197.htm

Welcome to .... Advertisement HEPATIC ENCEPHALOPATHY - A condition which is used to describe the deleterious effects of liver failure on the central nervous system. Features include confusion ranging to unresponsiveness ( coma ). A common cause is alcoholic cirrhosis . Treatment includes the binding and elimination of ammonia in the intestinal tract . General life support including respiratory support and cardiovascular support may also be required. See encephalopathy for additional details. Med Help International Search Ask the Doctor Forums Patient Network The medical glossary has been made possible by a generous donation from: (revised: 1996) Advertisement

54. Hepatic Encephalopathy Patient medical question and answer from The Hepatitis Forum. Health topic areaand articles about liver other Topics ,. http://www.medhelp.org/forums/Hepatitis/messages/37462.html

Questions in the Hepatitis Forum have been answered by doctors from Henry Ford Health System. hepatic encephalopathy Forum: The Hepatitis Forum Topic: Liver - other Subject: hepatic encephalopathy From To Post octavia Can you tell me what would be the initial line of treatment for someone approaching hepatic coma (2 days away) with acute jaundice, acute ascites of the abdomen, low blood pressure, tacacardic, deranged blood works and a past hiistory of alcohol abuse? silvermoon octavia so a search.. use these links.. the first will bring up a lot of links.. the next 2 are 2 very good articles.. and the rest are ore articles.. good luck... http://www.geocities.com/twisted_artist/Medecine/hepatic_encephalopathy.htm http://www.emedicine.com/med/topic3185.hhttp://health.yahoo.com/health/ency/adam/000302/overviewtm http://www.drlwilson.com/articles/brain_fog.htm http://www.nlm.nih.gov/medlineplus/ency/article/000302.htm http://www.postgradmed.com/issues/2001/02_01/assi.htm http://www.drkoop.com/ency/article/000302trt.htm http://health.yahoo.com/health/ency/adam/000302/overview

55. A Review Of Congenital Portosystemic Shunting And Hepatic Encephalopathy The pathogenesis of hepatic encephalopathy is multifactorial and not hepatic encephalopathy develops because of failure of the diseased liver to http://www.addl.purdue.edu/newsletters/1997/winter/cps.shtml

Winter 1997 Newsletter Home More Newsletters Director's ... Printable Version Search Enter Keywords: A Review of Congenital Portosystemic Shunting and Hepatic Encephalopathy Heptic encephalopathy is a neurologic disorder which may develop in animals who have advanced liver disease and/or severe portosystemic shunting. Congenital porto-vascular anomalies, which allow portal blood to circumvent hepatic detoxification in affected dogs and cats, and chronic severe hepato-cellular disease with acquired intra- or extrahepatic portosystemic shunting (PSS) in dogs account for most of the cases of hepatic encephalopathy. Signalment and History Congenital PSS is more commonly seen in purebred (Yorkshire terriers and Miniature schnauzers) than in mix-breed dogs. Most animals are presented by 2 years of age, often by 6 months of age, and sporadically at any age. Owners' concerns are commonly related to neurologic, gastrointestinal, and/or urinary tract disorders. Furthermore, affected animals may have a history of stunted growth or failure to gain weight compared with unaffected littermates. Laboratory Evaluation Definitive diagnosis of a portosystemic shunt requires identification of the shunt by ultrasonography, contrast radiography, or exploratory laporatomy.

56. Dopaminergic Agonists For Hepatic Encephalopathy (Cochrane Review) Abstract of a systematic review of the effects of health care prepared by theCochrane Collaboration. http://www.update-software.com/Abstracts/AB003047.htm

From The Cochrane Library, Issue 3, 2005 Dopaminergic agonists for hepatic encephalopathy (Cochrane Review) Als-Nielsen B, Gluud LL, Gluud C ABSTRACT What's new in this issue Search abstracts Browse alphabetical list of titles Browse by Review Group A substantive amendment to this systematic review was last made on 24 August 2004. Cochrane reviews are regularly checked and updated if necessary. Background: Hepatic encephalopathy may be associated with an impairment of the dopaminergic neurotransmission. Dopaminergic agonists may therefore have a beneficial effect on patients with hepatic encephalopathy. Objectives: To evaluate the beneficial and harmful effects of dopaminergic agonists for patients with hepatic encephalopathy. Search strategy: Trials were identified through The Cochrane Hepato-Biliary Group Controlled Trials Register (July 2004), The Cochrane Central Register of Controlled Trials (Issue 3, 2004), MEDLINE (1966-2004/07), EMBASE (1980-2004/07), manual searches of bibliographies and journals, authors of trials, and pharmaceutical companies. Selection criteria: All randomised trials comparing dopaminergic agonists versus placebo or no intervention for hepatic encephalopathy.

57. Icon Health Publications Hepatic Encephalopathy A Medical Icon Health Publications hepatic encephalopathy A Medical Dictionary, Bibliography,and Annotated Research Guide to Internet References,Conservative,Book http://www.forbesbookclub.com/bookpage.asp?prod_cd=IR08D

58. UCL Eprints - The Molecular Pathogenesis Of Hepatic Encephalopathy hepatic encephalopathy (HE) incorporates a spectrum of neuropsychiatric abnormalitiesseen in patients with liver dysfunction with a potential for full http://eprints.ucl.ac.uk/archive/00000312/

UCL Eprints Home Browse Search Register ... Library Services Navigation Home Browse Search Register ... Help Jalan, R. and Shawcross, D.L. and Davies, N. The molecular pathogenesis of hepatic encephalopathy. International Journal of Biochemistry and Cell Biology . ISSN Abstract Type: Article Status: Published Refereed: Yes Publisher version: http://www.sciencedirect.com/science/journal/13572725 Keywords: Hepatic encephalopathy; ammonia; cirrhosis; acute liver failure; hypothermia UCL Eprints classification: UCL Departments and Research Centres Faculty of Clinical Sciences Department of Medicine Institute of Hepatology Deposited on: 10 February 2005 Archive Staff Only: edit this record Library Services - University College London - Gower Street - London - WC1E 6BT library@ucl.ac.uk

59. UCL Eprints - Dispelling Myths In The Treatment Of Hepatic Encephalopathy Context Guidelines for the treatment of hepatic encephalopathy suggest Where next Two approaches to new therapies for hepatic encephalopathy are http://eprints.ucl.ac.uk/archive/00000302/

UCL Eprints Home Browse Search Register ... Library Services Navigation Home Browse Search Register ... Help Shawcross, D.L. and Jalan, R. Dispelling myths in the treatment of hepatic encephalopathy. The Lancet . ISSN PDF - Requires Adobe Acrobat Reader or other PDF viewer. PDF - Requires Adobe Acrobat Reader or other PDF viewer. Other .tif Abstract Type: Article Status: Published Refereed: Yes Publisher version: Additional information: Table and figure accompany text as separate files. UCL Eprints classification: UCL Departments and Research Centres Faculty of Clinical Sciences Department of Medicine Institute of Hepatology Deposited on: 08 February 2005 Archive Staff Only: edit this record Library Services - University College London - Gower Street - London - WC1E 6BT library@ucl.ac.uk

60. Hepatic Encephalopathy Dr. Marcos Pedrosa s lecture given at 2004 Advanced Liver Disease Training Program.This content is intended for healthcare providers. http://hepatitis.va.gov/vahep?page=cfny04-08

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