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Recent advances in understanding and managing hepatic encephalopathy in chronic liver disease

Kerbert, AJC; Jalan, R; (2020) Recent advances in understanding and managing hepatic encephalopathy in chronic liver disease. F1000Research , 9 , Article 312. 10.12688/f1000research.22183.1. Green open access

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Abstract

Hepatic encephalopathy (HE) is a common, severe complication of advanced chronic liver disease (CLD) and has a devastating impact on the patient's quality of life and prognosis. The neurotoxin ammonia and the presence of systemic and neurological inflammation are considered the key drivers of this neuropsychiatric syndrome. Treatment options available in routine clinical practice are limited, and the development of novel therapies is hampered owing to the complexity and heterogeneity of HE. This review article aims to outline the current understanding of the pathomechanisms of HE and the recent advances in the identification and development of novel therapeutic targets.

Type: Article
Title: Recent advances in understanding and managing hepatic encephalopathy in chronic liver disease
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.12688/f1000research.22183.1
Publisher version: https://doi.org/10.12688/f1000research.22183.1
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Hepatic encephalopathy, chronic liver disease, hyperammonemia, inflammation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Inst for Liver and Digestive Hlth
URI: https://discovery.ucl.ac.uk/id/eprint/10098337
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