McMaster Textbook of Internal Medicine

Main causes of cirrhosis nowadays

2018-08-13

Pere Ginès

What are the main causes of cirrhosis nowadays?

Pere Ginès: The antiviral treatment for hepatitis C is going to change the epidemiology of cirrhosis all over the world, particularly in the countries where hepatitis C was very common. In Spain, as well as in other countries in Europe, we are seeing a reduction in the number of patients admitted to the hospital because of complications of hepatitis C–induced cirrhosis.

There are 2 main etiological factors now in patients admitted to the hospital. The first one is alcohol; alcohol is probably also increasing in our country. The second, which is growing rapidly, is NAFLD-associated cirrhosis, or nonalcoholic fatty liver disease–associated cirrhosis. This is going to be a huge problem in the future, so we have to start facing it together with other physicians working in other specialties, particularly endocrinologists and also general practitioners.

See also

Evaluating H pylori eradication When should we check if Helicobacter pylori eradication therapy was successful? In particular, should we do it in patients with dyspepsia?
Frequency of follow-up visits in compensated cirrhosis What should be the frequency of follow-up visits in a patient with compensated cirrhosis?
Common causes of GI bleeding nowadays What is the most common cause of gastrointestinal (GI) bleeding nowadays? Has the etiology of GI bleeding changed over the past decades?
FMT: Mode of delivery, use in ulcerative colitis How do you perform fecal microbiota transplantation (FMT)? What is your experience with FMT in ulcerative colitis?
Nonalcoholic fatty liver disease: current management A lecture by Prof. Barry Lumb, from McMaster University, Canada, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2016.
Changing approaches to inflammatory bowel disease management A lecture by Prof. John Marshall, from McMaster University, Canada, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2016.
Environmental factors affecting inflammatory bowel disease What are the most significant environmental factors affecting the risk and course of inflammatory bowel disease?
Treatment of GERD with extraesophageal symptoms What is the recommended treatment in patients with extraesophageal symptoms of gastroesophageal reflux disease (GERD)? Is it different from the standard treatment of GERD?

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