April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA89
Academic Journal
The article presents an audit of the management of severe alcoholic hepatitis in a district general hospital. Severe alcoholic hepatitis is an increasingly common condition associated with a high mortality rate of over 40 percent at 1 month. The conventional treatment includes complete abstinence and aggressive nutritional support. Steroids have been shown to be beneficial in controlled studies in a subgroup of patients with a particularly poor prognosis as identified by a Maddrey's discriminant function value of greater than 32 and/or spontaneous encephalopathy.


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