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comparing rifaximin plus lactulose with lactulose alone in treatment of overt hepatic
encephalopathy. Am J Gastroenterol. 2013;108(9):1458–1463.

ADDITIONAL READING

Chalasani N, Younossi Z, Lavine JE, et al. The diagnosis and management of nonalcoholic
fatty liver disease: practice guidance from the American Association for the Study of Liver
Diseases. Hepatology. 2018;67(1):328–357.
Chou R, Wasson N. Blood tests to diagnose fibrosis or cirrhosis in patients with chronic
hepatitis C virus infection: a systematic review. Ann Intern Med. 2013;158(11):807–820.
Kim HY, Janj JW. Sarcopenia in the prognosis of cirrhosis: Going beyond the MELD score.
World J Gastroenterol. 2015;21(25):7637–7647.

SEE ALSO

Algorithm: Cirrhosis

CODES

ICD10
K74.60 Unspecified cirrhosis of liver
K70.30 Alcoholic cirrhosis of liver without ascites
K74.69 Other cirrhosis of liver

CLINICAL PEARLS

80% of chronic liver disease that leads to cirrhosis is preventable (primarily alcohol abuse).
After diagnosis of cirrhosis, abdominal ultrasound every 6 months for early detection of HCC
Update necessary immunizations and treat underlying cause (HCV, alcohol abuse, etc.).