A Study of 50 Cases of Clinical Spectrum of Precipitating Factors of Hepatic Encephalopathy in Cirrhosis of Liver

Dr Kaushalkumar Suthar; Dr Arti P. Trivedi

Volume : VI, Issue : III, March - 2017

A Study of 50 Cases of Clinical Spectrum of Precipitating Factors of Hepatic Encephalopathy in Cirrhosis of Liver

Dr Kaushalkumar Suthar, Dr Arti P. Trivedi

Abstract :

Objectives: To study the clinical profile & clinical course with progression of disease & to analyse the precipitating factors of hepatic encephalopathy, in P.D.U. government civil hospital, Rajkot from august 2013 to march 2016. Methodology: Fifty addmitted patients with liver disease were examined based on history, clinical examinations and laboratory methods including analysis and prognostic stratification through Child�s Pugh classification was also carried out. Results: G.I. bleeding (62%), Infection (62%), Constipation (56%) were most common factors. Most were in grade 2 and 3 of hepatic encephalopathy. Other associations were ascites (80%) and hepatomegaly (80%), Child�s Pugh class c (50%), non b & c cirrhosis (68%) and Mortality rate (42%). Conclusion: Early detection and diagnosis of these factors helps in starting treatment of this fatal condition hence reducing the mortality.