Table of contents
Liver cirrhosis
What's new
Updated 2024 AASLD guidelines for noninvasive assessment of liver fibrosis, steatosis, and portal hypertension.
Guidelines
Key sources
Classification and risk stratification
Diagnostic investigations
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Evaluation of fibrosis (hepatitis C)
Evaluation of fibrosis (hepatitis B)
Evaluation of fibrosis (ALD)
Evaluation of fibrosis (MASLD)
Evaluation of fibrosis (compensated cirrhosis)
Evaluation of fibrosis (preoperative assessment)
Evaluation of fibrosis (monitoring)
Evaluation of ascites
Evaluation of portal hypertension
Evaluation of gastroesophageal varices
Evaluation of variceal hemorrhage
Evaluation of portal vein thrombosis
Evaluation of DVT
Evaluation of SBP
Evaluation of hepatopulmonary syndrome
Evaluation of portopulmonary hypertension
Evaluation of renal impairment
Evaluation of hepatic encephalopathy
Evaluation of cardiac complications
Evaluation of relative adrenal insufficiency
Evaluation of sarcopenia and frailty
Evaluation of malignancy
Medical management
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Management of ascites (diuretic therapy)
Management of ascites (intravenous albumin)
Management of ascites (other agents)
Management of ascites (therapeutic paracentesis)
Management of ascites (TIPS)
Management of ascites (implantable peritoneal pump)
Management of ascites (refractory ascites)
Management of bacterascites
Management of hepatic hydrothorax
Management of portal hypertensive gastropathy
Prevention of gastroesophageal varices
Prevention of variceal hemorrhage (primary prevention)
Prevention of variceal hemorrhage (gastric varices)
Prevention of variceal hemorrhage (secondary prevention)
Management of variceal hemorrhage (pharmacotherapy)
Management of variceal hemorrhage (blood product transfusion)
Management of variceal hemorrhage (endoscopic therapy)
Management of variceal hemorrhage (TIPS)
Management of variceal hemorrhage (balloon-occluded retrograde transvenous obliteration)
Management of variceal hemorrhage (balloon tamponade)
Management of variceal hemorrhage (Sengstaken-Blakemore tube)
Management of variceal hemorrhage (gastric varices)
Management of variceal hemorrhage (surveillance)
Management of coagulopathy
Management of portal vein thrombosis
Prevention of DVT
Management of DVT
Prevention of SBP (primary prevention)
Prevention of SBP (secondary prevention)
Management of SBP (antibiotic therapy)
Management of SBP (intravenous albumin)
Management of SBP (vasoactive agents)
Management of SBP (medications to avoid)
Management of other infections (evaluation)
Management of other infections (antibiotic therapy)
Management of other infections (intravenous albumin)
Management of hepatopulmonary syndrome
Management of portopulmonary hypertension
Management of hepatorenal syndrome (pharmacotherapy)
Management of hepatorenal syndrome (RRT)
Management of hepatorenal syndrome (therapeutic paracentesis)
Management of hepatorenal syndrome (TIPS)
Management of hepatic encephalopathy
Management of hyponatremia
Management of anemia
Management of relative adrenal insufficiency
Prevention of sarcopenia and frailty
Management of sarcopenia and frailty
Medications to avoid
Nonpharmacologic interventions
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Weight loss
Nutrition (general principles)
Nutrition (calories)
Nutrition (proteins)
Nutrition (micronutrients)
Salt restriction
Fluid restriction
Inpatient nutrition
Perioperative care
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Prevention of procedural bleeding
Surgical interventions
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Elective hernia repair
Specific circumstances
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Patients with obesity
Patients with acute-on-chronic liver failure (diagnosis)
Patients with acute-on-chronic liver failure (management)