Study Risk of Hepatic Encephalopathy in Diabetic Patients with Decompensated Cirrhosis | ||||
The Medical Journal of Cairo University | ||||
Article 76, Volume 86, March, March 2018, Page 605-610 PDF (539.37 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjcu.2018.55213 | ||||
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Authors | ||||
KHALED M. DARWISH, M.D.; ABEER A. SHAHBA, M.D.; AMAL A. SELIM, M.D.; MARIAM N. EL-MAHALAWY, M.Sc. | ||||
The Department of Internal Medicine, Faculty of Medicine, Tanta University | ||||
Abstract | ||||
Abstract Background: Hepatic Encephalopathy (HE) is a serious complication in patients with cirrhotic liver disease. Diabetic patients with decompensated cirrhosis are suffering more than non-diabetic patients. Patients and Methods: This study included 100 patients with decompensated cirrhosis and they were classified into 2 main groups: Group (A): Diabetic with decompensated cirrhosis. They were further classified into diabetic patients and patients with Impaired Glucose Tolerance (IGT). Group (B): Non-diabetic with decompensated cirrhosis. Then we compared the risk of hepatic encephalopathy between the 2 groups. Results: Diabetic patients are at higher risk for HE than patients with IGT and both are at higher risk than non-diabetic patients. Conclusion: Patients with cirrhosis should be screened for IGT and diabetes at frequent intervals so that early inter-vention can be initiated when required. | ||||
Keywords | ||||
Decompensated cirrhosis – Hepatic encephalop-athy – Diabetes mellitus | ||||
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